# DYNASTY NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dynasty family health services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134634322
- **Authorized official:** CLARA THROCKMORTON LAMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (734) 678-1363

## Contact information

- **Practice address:** 40560 DOUGLAS DR APT 204, CANTON, MI 48188-1357
- **Practice address phone:** (734) 678-1363
- **Mailing address:** 40560 DOUGLAS DR APT 204, CANTON, MI 48188-1357
- **Mailing address phone:** (734) 678-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2017
- **Last updated:** 12/09/2017