S.a.f.e. Substance Abuse Coalition | |
23302 W Warren St Dearborn Heights MI 48127-2493 | |
(313) 436-0043 | |
(313) 436-0044 |
Full Name | S.a.f.e. Substance Abuse Coalition |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 23302 W Warren St, Dearborn Heights, Michigan |
Authorized Official Name and Position | Ali Sayed (CEO) |
Authorized Official Contact | 3134360043 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S.a.f.e. Substance Abuse Coalition 23302 W Warren St Dearborn Heights MI 48127-2493 Ph: (313) 436-0043 | S.a.f.e. Substance Abuse Coalition 23302 W Warren St Dearborn Heights MI 48127-2493 Ph: (313) 436-0043 |
NPI Number | 1093272635 |
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Provider Enumeration Date | 03/01/2019 |
Last Update Date | 04/26/2021 |
Certification Date | 04/26/2021 |
Medicare PECOS PAC ID | 6305217308 |
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Medicare Enrollment ID | O20230131001458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093272635 | NPI | - | NPPES |
SA0823292 | Other | MI | LARA |
Provider Name | Mohamed M Moussa |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1821438110 PECOS PAC ID: 5890084370 Enrollment ID: I20160713001714 |
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