Healthcare Provider Details

I. General information

NPI: 1578386835
Provider Name (Legal Business Name): FAMILIES AGAINST NARCOTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43800 GARFIELD RD STE 200
CLINTON TOWNSHIP MI
48038-1136
US

IV. Provider business mailing address

43800 GARFIELD RD STE 200
CLINTON TOWNSHIP MI
48038-1136
US

V. Phone/Fax

Practice location:
  • Phone: 586-438-8500
  • Fax:
Mailing address:
  • Phone: 586-438-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: DUNYA KILANO
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 248-252-4271