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Organization
WATKINS AFC FAMILY HOME L.L.C.
Active
Organization
WATKINS AFC FAMILY HOME L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORLISS MICHELE WATKINS (MEMBER/EXECUTIVE DIRECTOR)
(248) 773-1682
Entity
Organization
Contact information
Practice address
49783 PARKSIDE DR, NORTHVILLE, MI 48168-6821
(248) 773-1682
(248) 308-3283
Mailing address
49783 PARKSIDE DR, NORTHVILLE, MI 48168-6821
(248) 773-1682
(248) 308-3283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
AF
MI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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