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Organization
CHILDREN'S AMBULATORY SERVICES, LLC
Active
Organization
CHILDREN'S AMBULATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SCALLEN VP (VP FINANCE)
(313) 745-0633
Entity
Organization
Contact information
Practice address
21431 GRAND RIVER AVE, DETROIT, MI 48219-3801
(313) 745-0633
(313) 745-0633
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0633
(313) 745-5395
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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