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NPI Code Detail

MEDICARE: POSITIVE IMAGES

MEDICARE: POSITIVE IMAGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility822778MI
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1255410023
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE IMAGES
Provider Business Mailing Address
First Line : 13340 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48215-2112
Country : US
Telephone Number : 313-822-6940
Fax Number : 313-822-6946
Provider Business Practice Location Address
First Line : 13340 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48215-2112
Country : US
Telephone Number : 313-822-6940
Fax Number : 313-822-6946
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MAISHA KENYATTA
Credential : MSW
Telephone Number : 313-822-6940
Provider Enumeration Date : 11/03/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1629157474 — MAISHA KENYATTA MSW
Practice Location Address:
13340 E WARREN AVE
DETROIT, MI
48215-2112
Practice Phone: 313-822-6940
Practice Fax: 313-822-6940
1144346131 — MISS TARA S TYUS FSAC
Practice Location Address:
13340 E WARREN AVE
DETROIT, MI
48215-2112
Practice Phone: 313-822-6940
Practice Fax: 313-822-6946
1922125400 — MR. ALONZO FULTON HOVER CAC1
Practice Location Address:
13340 E WARREN AVE
DETROIT, MI
48215-2112
Practice Phone: 313-822-6940
Practice Fax: 313-822-6946
1801913827 — CHARLOTTE JARRETT FAODP
Practice Location Address:
13340 E WARREN AVE
DETROIT, MI
48215-2112
Practice Phone: 313-822-6940
Practice Fax: 313-822-6946
1649397670 — MS. EULA MAE ALDRIDGE FAODP
Practice Location Address:
13340 E WARREN AVE
DETROIT, MI
48215-2112
Practice Phone: 313-921-2746
Practice Fax: 313-822-6946
1548387558 — LYDIA LENICE KNIGHT SOCIAL WORKER TECH
Practice Location Address:
13340 E WARREN AVE
DETROIT, MI
48215-2112
Practice Phone: 313-822-6940
Practice Fax: 313-822-6946

Directions to “POSITIVE IMAGES ” Practice Location

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