| Program Manager | |
|
20651 West Warren Dearborn Heights MI 48127 | |
| (313) 271-3050 | |
| Not Available |
| Full Name | Program Manager |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20651 West Warren, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Latonya Howard (PROGRAM MANAGER) |
| Authorized Official Contact | 3132713050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Program Manager 20651 West Warren Dearborn Heights MI 48127 Ph: () - | Program Manager 20651 West Warren Dearborn Heights MI 48127 Ph: (313) 271-3050 |
| NPI Number | 1497928816 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497928816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 4 days ago
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