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Organization
WILLIAMS COMMUNITY LIVING, INC.
Active
Organization
WILLIAMS COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L WILLIAMS-DAWSON (PROVIDER)
(313) 837-0043
Entity
Organization
Contact information
Practice address
2662 W GRAND BLVD, DETROIT, MI 48208-1237
(313) 871-7542
(313) 837-0043
Mailing address
2662 WEST GRAND BLVD, DETROIT, MI 48208
(313) 871-7452
(313) 837-0043
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AL820007539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL820007539
STATE LICENSE NUMBER
MI
Enumeration date
10/20/2006
Last updated
09/18/2008
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