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CRISTO REY COMMUNITY CENTER NPI 1700901964


NPI Information

NPI: 1700901964
Provider Name: CRISTO REY COMMUNITY CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1717 N HIGH ST
LANSING, MI
ZIP 48906
Phone: (517) 372-4700
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CRISTO REY COMMUNITY CENTER is an addiction (substance use disorder) counselor in Lansing, MI. CRISTO REY COMMUNITY CENTER NPI is 1700901964. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1717 N HIGH ST
LANSING, MI
ZIP 48906-529
Phone: (517) 372-4700
Fax: (517) 372-3314

The provider's authorized official is Carol Lynn Patterson .
The authorized official title is Program & Clinical Director Of Coun and has the following contact phone number (517) 372-4700.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)330041MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13148943MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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