Provider Demographics
NPI:1184232746
Name:HOW-ADOLESCENT SUBSTANCE ABUSE PROGRAM LLC
Entity type:Organization
Organization Name:HOW-ADOLESCENT SUBSTANCE ABUSE PROGRAM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-778-4524
Mailing Address - Street 1:2727 2ND AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2677
Mailing Address - Country:US
Mailing Address - Phone:313-778-4524
Mailing Address - Fax:
Practice Address - Street 1:2727 2ND AVE STE 212
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2677
Practice Address - Country:US
Practice Address - Phone:313-778-4524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOW-ADOLESCENT SUBSTANCE ABUSE PROGRAM, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-20
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Multi-Specialty