Provider Demographics
NPI:1104440320
Name:HOW- SUBSTANCE ABUSE ABUSE PROGRAM
Entity type:Organization
Organization Name:HOW- SUBSTANCE ABUSE ABUSE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREORY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-842-0428
Mailing Address - Street 1:51762 EVA DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-4234
Mailing Address - Country:US
Mailing Address - Phone:248-842-0428
Mailing Address - Fax:248-850-7424
Practice Address - Street 1:8131 E OUTER DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-1323
Practice Address - Country:US
Practice Address - Phone:248-842-0428
Practice Address - Fax:248-850-7424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty