Kathy A. Henderson in Detroit - Substance Abuse Rehabilitation Facility
Kathy A. Henderson - NPI 1235309394
Kathy A. Henderson is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Kathy A. Henderson practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Kathy A. Henderson is 1235309394. The last update date is 2008-03-05.
Kathy A. Henderson's current location address is 19941 Gallagher St, Detroit, Michigan. You can contact this provider via phone number 3133318990 and fax number 3133316375. The mailing address for Kathy A. Henderson is 19941 Gallagher St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy A. Henderson |
|---|---|
| Address | 19941 Gallagher St, Detroit, Michigan |
| Phone Number | 3133318990 |
| Fax Number | 3133316375 |
| Sole Proprietor | Y |
| Credentials | CAC-1 |
NPI Number Detail
| NPI Number | 1235309394 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 19941 Gallagher St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482341655 |
| Phone Number | 3133318990 |
| Fax Number | 3133316375 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 1-00030 |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Post Comment/ Review Below
What is the Kathy A. Henderson's unique identification number?
The Kathy A. Henderson has been assigned the NPI (National Provider Identifier) Number 1235309394 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kathy A. Henderson?
The Kathy A. Henderson is physically situated at 19941 Gallagher St, in the city of Detroit, state of MI, with the postal code 482341655.
What is Kathy A. Henderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathy A. Henderson is Substance Abuse Rehabilitation Facility, and the taxonomy classification code that categorizes this area of expertise is 324500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235309394 to Kathy A. Henderson?
The Centers for Medicare & Medicaid Services assigned the 1235309394 to Kathy A. Henderson on 2008-03-05.
As of what date were the details pertaining to Kathy A. Henderson last refreshed?
The information related to the Kathy A. Henderson, including its address, specialty, and other relevant details, was last updated on 2008-03-05.