# SYNERGY SERVICE NETWORK AND AFFILIATE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134665029
- **Authorized official:** KHADISHA SAUNDERS-DAVENPORT MA LPC (PRESIDENT/CEO)
- **Authorized official phone:** (313) 784-5560

## Contact information

- **Practice address:** 14954 MEYERS RD, DETROIT, MI 48227-4088
- **Practice address phone:** (313) 784-5560
- **Mailing address:** 29155 NORTHWESTERN HWY UNIT 781, SOUTHFIELD, MI 48034-1011
- **Mailing address phone:** (313) 784-5560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2017
- **Last updated:** 01/16/2017
