OrganizationActive
Emmanuel House
NPI 1083169502 · Mental Illness Community Based Residential Treatment Facility · Detroit, MI
Provider details
- NPI number
- 1083169502
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Timothy Thompson, Executive Director(313) 397-2372
- License
- 6301006483 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 6301006483 (MI)
Residential Treatment Facilities
Practice location
14750 Saint Marys St
Detroit, MI 48227-1862
Phone: (313) 397-2372
Fax: (313) 651-5225
Approximate (ZIP-level) locationGet directions
Mailing address
14750 Saint Marys St
Detroit, MI 48227-1862
Registry dates
- Enumerated
- 2016-08-25
- Last updated
- 2016-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.