NPI 1003180902

Cherry Streat Health Services

Organisation Substance Abuse Rehabilitation Facility Detroit, MI

Practice location

Address: 11105 E Jefferson Ave, Detroit, MI 48214-3317
Phone: (313) 822-4060
Fax: (313) 822-1130

Authorised official

Name: Avery E. Brown
Title: Clinical Supervisor
Phone: (313) 822-4060

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 822051 (MI)

Other Substance Abuse Rehabilitation Facility providers in Michigan →

Registry record

NPI: 1003180902
Entity type: Organization
NPI issued: 24 Feb 2012
Record last updated: 24 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.