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Organization
THE LIVING ROOM DROP IN CENTER
Active
Organization
THE LIVING ROOM DROP IN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LOUISE JEFFERSON BA, CPSS, MH ED., (EXECUTIVE DIRECTOR)
(313) 623-1712
Entity
Organization
Contact information
Practice address
700 SEWARD ST, 512, DETROIT, MI 48202-2427
(313) 638-1712
Mailing address
2780 E GRAND BLVD STREET, 200, DETROIT, MI 48202-2427
(313) 638-1712
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
MI
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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