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Organization
GREAT FUTURES MATERNAL INFANT HEALTH PROGRAM, LLC
Active
Organization
GREAT FUTURES MATERNAL INFANT HEALTH PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHAWN MYERS MSW (SOCIAL WORKER)
(313) 737-0018
Entity
Organization
Contact information
Practice address
15892 ORCHARD LN, ROSEVILLE, MI 48066-5215
(313) 737-0018
Mailing address
15892 ORCHARD LN, ROSEVILLE, MI 48066-5215
(313) 737-0018
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6802080544
MI
251K00000X
Public Health or Welfare Agency
Primary
6802080544
MI
251S00000X
Community/Behavioral Health Agency
6802080544
MI
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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