| Jabez Op And Th Program | |
|
7510 Dunedin St # 12 Detroit MI 48206-2622 | |
| (313) 418-7640 | |
| Not Available |
| Full Name | Jabez Op And Th Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7510 Dunedin St # 12, Detroit, Michigan |
| Authorized Official Name and Position | Edward A Aniapam (PRESIDENT) |
| Authorized Official Contact | 3134187640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jabez Op And Th Program 71 Richton St Highland Park MI 48203-3502 Ph: (313) 418-7640 | Jabez Op And Th Program 7510 Dunedin St # 12 Detroit MI 48206-2622 Ph: (313) 418-7640 |
| NPI Number | 1831215888 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831215888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 822958 (Michigan) | Primary |
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