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Organization
MACOMB CHILDREN'S HEALTHCARE ACCESS PROGRAM
Active
Organization
MACOMB CHILDREN'S HEALTHCARE ACCESS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA WOODSON (EXECUTIVE DIRECTOR)
(586) 459-5108
Entity
Organization
Contact information
Practice address
11370 HUPP AVE, WARREN, MI 48089-2505
(586) 459-5108
(586) 459-5186
Mailing address
11370 HUPP AVE, WARREN, MI 48089-2505
(586) 459-5108
(586) 459-5186
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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