OMAR SHABAZZ

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1902290687

Practice Address

300 W MCNICHOLS RD
Detroit, MI 48203

Phone: (313) 867-8015

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1902290687 is the National Provider Identifier for OMAR SHABAZZ, a Counselor - Addiction (Substance Use Disorder) provider located in Detroit, MI. This NPI was enumerated on March 20, 2015.
OMAR SHABAZZ practices at 300 W MCNICHOLS RD, Detroit, MI 48203.

Quick Facts

NPI
1902290687
Type
Individual
Enumerated
Mar 20, 2015
Last Updated
Mar 20, 2015

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