RENATE ELIZABETH BLACK

DETROIT, MI
NPI1831890003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-03-15
Last Update Date2023-03-15
Business Address
RENATE ELIZABETH BLACK
626 E GRAND BLVD
DETROIT, MI 48207-3513
Phone number: 313-993-4700
Mailing Address
RENATE ELIZABETH BLACK
18694 STOEPEL ST
DETROIT, MI 48221-2251
Phone number: 313-854-7402