Healthcare Provider Details
I. General information
NPI: 1881582187
Provider Name (Legal Business Name): ALIM HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1121 E MCNICHOLS RD
DETROIT MI
48203-2857
US
IV. Provider business mailing address
1121 E MCNICHOLS RD
DETROIT MI
48203-2857
US
V. Phone/Fax
- Phone: 313-365-3100
- Fax: 313-365-3101
- Phone: 313-365-3100
- Fax: 313-365-3101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: