| Peace House | |
|
15471 Cloverlawn St Detroit MI 48238-1146 | |
| (313) 220-9033 | |
| (313) 345-4358 |
| Full Name | Peace House |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 15471 Cloverlawn St, Detroit, Michigan |
| Authorized Official Name and Position | Marchelle Mitzi Gaines (CEO) |
| Authorized Official Contact | 3132209033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace House 15471 Cloverlawn St Detroit MI 48238-1146 Ph: (706) 263-2533 | Peace House 15471 Cloverlawn St Detroit MI 48238-1146 Ph: (313) 220-9033 |
| NPI Number | 1386826949 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386826949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Primary |
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