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MANNA OF DETROIT INC.

Addiction Substance Use Disorder

Detroit, Michigan

Provider NPI: 1629050471

Organization Information:
Organization Name:  MANNA OF DETROIT INC.
Authorized Official:  MARVIN CHILES THOMAS  EXECUTIVE DIRECTOR  313-4912956

Practice Location:
12048 GRAND RIVER AVE  DETROIT, MI 48204 US
Tel: 313-491-2956  Fax: 313-491-0616

Business Mailing Address:
PO BOX 20696 12048 GRAND RIVER, DET.MI 48204 FERNDALE, MI 48220 US
Tel: 313-491-2956  Fax: 313-491-0616

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MI822416









ADDICTION JOBS MI - Page 1

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