Emmanuel House 1&2 Inc.

NPI #1376777805 in Detroit, Michigan

Provider Information

NPI Number: 1376777805
Entity Type: Organization
Organization Name: Emmanuel House 1&2 Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: EMMANUEL HOUSE 1& 2 INC.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 12, 2009
Last Updated: May 24, 2023

Practice Location

Address: 18425 HICKORY ST
City: Detroit
State: Michigan
ZIP Code: 48205-2707
Phone: (313) 729-4547

Authorized Official

Name: MRS. BLANCHE RENEE FOSTER
Title: CEO
Phone: (313) 729-4547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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