| Samaritas | |
|
313 Lansing St Ste 5 Charlotte MI 48813-1675 | |
| (313) 308-8839 | |
| Not Available |
| Full Name | Samaritas |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 313 Lansing St Ste 5, Charlotte, Michigan |
| Authorized Official Name and Position | Jenny Cederstrom (CFO) |
| Authorized Official Contact | 3133082764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritas 8131 E Jefferson Ave Detroit MI 48214-2610 Ph: (313) 823-7980 | Samaritas 313 Lansing St Ste 5 Charlotte MI 48813-1675 Ph: (313) 308-8839 |
| NPI Number | 1407487168 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407487168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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