KATHY HENDERSON, CAC-1

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1235309394

Practice Address

19941 GALLAGHER ST.
Detroit, MI 48234

Phone: (313) 331-8990

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes 1-00030 (MI)

Frequently Asked Questions

NPI 1235309394 is the National Provider Identifier for KATHY HENDERSON, CAC-1, a Substance Abuse Rehabilitation Facility provider located in Detroit, MI. This NPI was enumerated on March 5, 2008.
KATHY HENDERSON, CAC-1 practices at 19941 GALLAGHER ST., Detroit, MI 48234.

Quick Facts

NPI
1235309394
Type
Individual
Enumerated
Mar 5, 2008
Last Updated
Mar 5, 2008

Nearby Providers