| Positive Images | |
|
13340 E Warren Ave Detroit MI 48215-2112 | |
| (313) 822-6940 | |
| (313) 822-6946 |
| Full Name | Positive Images |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 13340 E Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Maisha Kenyatta (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3138226940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Images 13340 E Warren Ave Detroit MI 48215-2112 Ph: (313) 822-6940 | Positive Images 13340 E Warren Ave Detroit MI 48215-2112 Ph: (313) 822-6940 |
| NPI Number | 1255410023 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255410023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 822778 (Michigan) | Primary |
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