MR. ROGER JAMES GREGORY ICADC ICCS NPI 1861510679

NPI Information

MR. Roger James Gregory, ICADC, ICCS is an addiction (substance use disorder) counselor in Detroit, MI. MR. Roger James Gregory, ICADC, ICCS NPI is 1861510679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9605 WEST GRAND RIVER
NARDIN PARK RECOVERY CENTER
DETROIT, MI
ZIP 48204
Phone: (313) 867-8015
Fax: (313) 867-8040

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/18/2014.

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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