NPI 1235309394
Kathy A. Henderson, CAC
Practice location
- Address
- 19941 Gallagher St., Detroit, MI 48234-1655
- Phone
- (313) 331-8990
- Mailing address
- 19941 Gallagher St, Detroit, MI 48234-1655
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1235309394
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Mar 2008
- Record last updated
- 5 Mar 2008
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.