CHERRY STREAT HEALTH SERVICES NPI 1003180902

NPI Information

CHERRY STREAT HEALTH SERVICES is a substance abuse rehabilitation facility in Detroit, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CHERRY STREAT HEALTH SERVICES NPI is 1003180902. The provider is registered as an organization entity type.

The provider's business location address is:

11105 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-317
Phone: (313) 822-4060
Fax: (313) 822-1130

The provider's authorized official is Avery E. Brown .
The authorized official title is Clinical Supervisor and has the following contact phone number (313) 822-4060.

The enumeration date for this NPI number is 2/24/2012 and was last updated on 2/24/2012.

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:

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