Organization · NPI-2

Aaric Care Outpatient Program

Counselor, Addiction (Substance Use Disorder) · Detroit, MI

NPI number1386083541
StatusActive
Last updated in NPPESJun 20, 2013

Details

NPI
1386083541
Entity type
Organization (NPI-2)
Legal business name
Aaric Care Outpatient Program
Organization subpart
No
Enumeration date
Jun 20, 2013
Last updated
Jun 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)823200MIYes

Practice location

17830 E Warren Ave
Detroit, MI 48224-1332

Phone 313-784-5348

Mailing address

17830 E Warren Ave
Detroit, MI 48224-1332

Phone 313-784-5348

Authorized official

Zipporah K Bolar
Program Director
3137845348

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