Illene Rita Bosley in Detroit - Addiction (substance Use Disorder)
Illene Rita Bosley - NPI 1225156177
Illene Rita Bosley is a Addiction (substance Use Disorder) in Detroit, Michigan. Illene Rita Bosley practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Illene Rita Bosley is 1225156177. The last update date is 2007-07-09.
Illene Rita Bosley's current location address is 150 Stimson St, Detroit, Michigan. You can contact this provider via phone number 3139934700 and fax number 3139936603. The mailing address for Illene Rita Bosley is 150 Stimson St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Illene Rita Bosley |
|---|---|
| Address | 150 Stimson St, Detroit, Michigan |
| Phone Number | 3139934700 |
| Fax Number | 3139936603 |
| Sole Proprietor | N |
| Credentials | MS, CAC-I |
NPI Number Detail
| NPI Number | 1225156177 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 150 Stimson St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012410 |
| Phone Number | 3139934700 |
| Fax Number | 3139936603 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 104259 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1063545556 | MI | GENESIS HOUSE III | |
| 1740313238 | MI | CHRISTIAN GUIDANCE CENTER | |
| 3022440 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Illene Rita Bosley by the Centers for Medicare & Medicaid Services?
The Illene Rita Bosley has been assigned the NPI (National Provider Identifier) 1225156177 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Illene Rita Bosley is physically located?
The Illene Rita Bosley is physically situated at the following address: 150 Stimson St, Detroit, MI, 482012410.
What is the Illene Rita Bosley's area of specialization and corresponding taxonomy classification?
The Illene Rita Bosley's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did Illene Rita Bosley receive its 1225156177 assignment from the Centers for Medicare & Medicaid Services?
The Illene Rita Bosley was assigned its 1225156177 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Illene Rita Bosley most recently updated or refreshed?
The details pertaining to the Illene Rita Bosley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.