Kenneth Deon Blue, CADCM
Kenneth Deon Blue, CADCM is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
12305 Dexter AveDetroit, MI 48206-1015
Phone: (313) 397-1306
Fax: (313) 397-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1518236116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADCM |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2011 |
| Last updated in NPPES | December 28, 2011 |
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