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Organization
WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM
Active
Organization
WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM
Active
Other names
WCHAP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMETTA LILLY (CHIEF EXECUTIVE OFFICER)
(313) 863-2427
Entity
Organization
Contact information
Practice address
17567 HUBBELL ST, DETROIT, MI 48235-2708
(313) 863-2427
(313) 863-5183
Mailing address
17567 HUBBELL ST, DETROIT, MI 48235-2708
(313) 863-2427
(313) 863-5183
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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