Provider Demographics
NPI:1326416876
Name:DAD-DELPHINE ALFRED DUNCAN FOUNDATION FOR THE DEAF AND HARD OF HEARING
Entity Type:Organization
Organization Name:DAD-DELPHINE ALFRED DUNCAN FOUNDATION FOR THE DEAF AND HARD OF HEARING
Other - Org Name:DAD-DELPHINE ALFRED DUNCAN FOUNDATION FOR THE DEAF AND HARD OF HEARING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNEBELLE
Authorized Official - Middle Name:VERETTE
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RSST
Authorized Official - Phone:313-451-3425
Mailing Address - Street 1:13560 E MCNICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-3426
Mailing Address - Country:US
Mailing Address - Phone:313-451-3425
Mailing Address - Fax:888-742-2181
Practice Address - Street 1:13560 E MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-3426
Practice Address - Country:US
Practice Address - Phone:313-451-3425
Practice Address - Fax:888-742-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68030886267101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty