| Organization Name: | NATIONAL COUNCIL ON ALCOHOLISM DRUG DEPENDENCE |
| NPI Number: | 1477671170 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN JONES (PRESIDENT) |
| Mailing Address: | 16647 Wyoming St Detroit |
| State: | MI US |
| Postal Code: | 482212848 |
| Phone Number: | 3133419891 |
| Fax Number: | 3138610413 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 101YA0400X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |