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Organization
METROPOLITAN AGENCY FOR RETARDED
Active
Organization
METROPOLITAN AGENCY FOR RETARDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD HAYNES LMSW (DIRECTOR OF CLINCIAL SERVICES)
(313) 965-6655
Entity
Organization
Contact information
Practice address
65 CADILLAC SQ, SUITE 2933, DETROIT, MI 48226-2844
(313) 965-6655
(313) 965-3976
Mailing address
65 CADILLAC SQ, SUITE 2933, DETROIT, MI 48226-2844
(313) 965-6655
(313) 965-3976
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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