Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manna of Detroit Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1629050471

Manna of Detroit Inc is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12048 Grand River Ave
Detroit, MI 48204-1836
Phone: (313) 491-2956
Fax: (313) 491-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 822416 (MI)

Record details

NPI number1629050471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Thomas — Executive Director · (313) 491-2956
NPI enumeratedNovember 17, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 20696, 12048 Grand River, Det.Mi 48204, Ferndale, MI 48220-0696

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