Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH DEON BLUE, CADCM
Active Sole ProprietorKENNETH DEON BLUE, CADCM is a Substance Abuse Rehabilitation Facility healthcare provider located in DETROIT, Michigan. NPI 1518236116 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · DETROIT, MI
Registration Details
- NPI Number
- 1518236116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2011 (14.641094941456 yrs)
- Last Updated
- Dec 28, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
12305 DEXTER AVEDETROIT, MI, 482061015Browse MI providers · Browse ZIP 48206
- Phone
- 3133971306
- Fax
- 3133976010
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK EDWARD DENKINS SR. | BACHELORS | 1326263922 |
| KEVIN DANIEL | ACC | 1124237862 |
| KATHY A. HENDERSON | CAC-1 | 1235309394 |
| SONYA BAILEY | — | 1003073123 |
| VALERIE JANE BURNETT | — | 1912153198 |
| KIM ROGERS | — | 1407095201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.