Provider Demographics
NPI:1093272635
Name:S.A.F.E. SUBSTANCE ABUSE COALITION
Entity Type:Organization
Organization Name:S.A.F.E. SUBSTANCE ABUSE COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-436-0043
Mailing Address - Street 1:23302 W WARREN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2493
Mailing Address - Country:US
Mailing Address - Phone:313-436-0043
Mailing Address - Fax:313-436-0044
Practice Address - Street 1:23302 W WARREN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2493
Practice Address - Country:US
Practice Address - Phone:313-436-0043
Practice Address - Fax:313-436-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MISA0823292OtherLARA