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MANNA OF DETROIT INC.
NPI 1629050471
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since November 17, 2005
12048 GRAND RIVER AVE, DETROIT, MI 48204(313) 491-2956(313) 491-0616 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manna Of Detroit Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANNA OF DETROIT INC. (NPI 1629050471) is a healthcare organization registered as an addiction (substance use disorder) in Detroit, Michigan and active in the NPI registry since November 2005. The organization lists Marvin Chiles Thomas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629050471
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameMANNA OF DETROIT INC.
Location Address12048 GRAND RIVER AVEDetroit, MI 48204-1836
Mailing AddressPo Box 20696, 12048 Grand River, Det.mi 48204Ferndale, MI 48220-0696 · (313) 491-2956 · Fax (313) 491-0616
Phone(313) 491-2956
Fax(313) 491-0616
Organization SubpartNo
Authorized OfficialMarvin Chiles ThomasExecutive Director · (313) 491-2956
Enumeration DateNovember 17, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629050471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 822416
12048 GRAND RIVER AVE, Detroit, MI 48204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIERE QUALITY HEALTH CENTER INC
Nurse Practitioner (Family)
12048 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 635-5978
THE DETROIT ASSOCIATION OF BLACK ORGANIZATION DABO INC
Counselor (Addiction (Substance Use Disorder))
12048 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 491-0003
ESHA PRICE NP
Nurse Practitioner (Family)
12048 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 635-5978
J. LEWIS DEVELOPMENT CORPORATION
In Home Supportive Care
12048 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (248) 416-8903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manna Of Detroit Inc.'s NPI number?

The NPI number for Manna Of Detroit Inc. is 1629050471. It was assigned to this organization in the NPPES registry on November 17, 2005.

Where is Manna Of Detroit Inc. located?

Manna Of Detroit Inc. is located at 12048 Grand River Ave, Detroit, MI 48204. The listed phone number is (313) 491-2956.

What is Manna Of Detroit Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Manna Of Detroit Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.