| Shar House | |
|
1852 W Grand Blvd Detroit MI 48208-1006 | |
| (313) 894-8444 | |
| Not Available |
| Full Name | Shar House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1852 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Donald R Moore (THERAPIST) |
| Authorized Official Contact | 3139741940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shar House 1852 W Grand Blvd Detroit MI 48208-1006 Ph: (313) 894-8444 | Shar House 1852 W Grand Blvd Detroit MI 48208-1006 Ph: (313) 894-8444 |
| NPI Number | 1568868420 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568868420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C-00896 (Michigan) | Primary |
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