# STEPHEN BURDEN DBA MARY LEE COMMUNITY HEALTH & TRAINING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Lee community Health & Training Center, Mary Lee Community Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083981724
- **Authorized official:** MRS. TONYA MARETTA MOSS DNP, NP-C (CLINICAL DIRECTOR)
- **Authorized official phone:** (313) 286-3031

## Contact information

- **Practice address:** 25712 GRAND RIVER AVE, REDFORD, MI 48240-1431
- **Practice address phone:** (313) 286-3031
- **Practice address fax:** (313) 286-3135
- **Mailing address:** 24633 PEMBROOKE DR, SOUTHFIELD, MI 48033-3159
- **Mailing address phone:** (248) 719-4335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2011
- **Last updated:** 07/23/2026