NIAAH ELLIS

DETROIT, MI
NPI1194051557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
Ms. NIAAH ELLIS B.A.H.C.S.
4812 E. MCNICHOLS
DETROIT, MI 48212
Phone number: 313-368-4800
Mailing Address
Ms. NIAAH ELLIS B.A.H.C.S.
20226 SANTA ROSA DR
DETROIT, MI 48221-1291
Phone number: 313-221-3352