| Michigan Institute For Prevention And Intervention | |
|
9851 Hamilton Ave Detroit MI 48202-1424 | |
| (313) 883-7377 | |
| (313) 883-3957 |
| Full Name | Michigan Institute For Prevention And Intervention |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9851 Hamilton Ave, Detroit, Michigan |
| Authorized Official Name and Position | Jackie Moore (OWNER) |
| Authorized Official Contact | 3138837377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Institute For Prevention And Intervention 18530 Mack Ave Ste 101 Grosse Pointe Farms MI 48236-3254 Ph: () - | Michigan Institute For Prevention And Intervention 9851 Hamilton Ave Detroit MI 48202-1424 Ph: (313) 883-7377 |
| NPI Number | 1942454392 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942454392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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