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Organization
MAKA SIL & GROUP HOME, INC
Active
Organization
MAKA SIL & GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND KYLE WILLIAMS JR. (ASSISTANT DIRECTOR)
(313) 347-6334
Entity
Organization
Contact information
Practice address
24123 GREENFIELD RD, STE 307, SOUTHFIELD, MI 48075-3125
(248) 595-8108
(248) 595-8237
Mailing address
24123 GREENFIELD RD, STE 307, SOUTHFIELD, MI 48075-3125
(248) 595-8108
(248) 595-8237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/22/2009
Last updated
07/10/2015
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