NPI 1083169502

Emmanuel House

Organisation Mental Illness Community Based Residential Treatment Facility Detroit, MI

Practice location

Address: 14750 Saint Marys St, Detroit, MI 48227-1862
Phone: (313) 397-2372
Fax: (313) 651-5225

Authorised official

Name: Timothy Thompson
Title: Executive Director
Phone: (313) 397-2372

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 6301006483 (MI)

Other Community Based Residential Treatment Facility, Mental Illness providers in Michigan →

Registry record

NPI: 1083169502
Entity type: Organization
NPI issued: 25 Aug 2016
Record last updated: 25 Aug 2016

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.