# WILLIAMS COMMUNITY LIVING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356424832
- **Authorized official:** MRS. SANDRA L WILLIAMS-DAWSON (PROVIDER)
- **Authorized official phone:** (313) 837-0043

## Contact information

- **Practice address:** 2662 W GRAND BLVD, DETROIT, MI 48208-1237
- **Practice address phone:** (313) 871-7542
- **Practice address fax:** (313) 837-0043
- **Mailing address:** 2662 WEST GRAND BLVD, DETROIT, MI 48208
- **Mailing address phone:** (313) 871-7452
- **Mailing address fax:** (313) 837-0043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AL820007539 | MI | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 09/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AL820007539 | STATE LICENSE NUMBER | MI |