NPI 1124237862
Kevin Daniel, ACC
Practice location
- Address
- 12010 Linwood St, Detroit, MI 48206-1108
- Phone
- (313) 867-1090
- Fax
- (313) 867-0706
- Mailing address
- 15856 Parkside St, Detroit, MI 48238-4104
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1124237862
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 May 2007
- Record last updated
- 8 Jul 2007
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.