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Organization
STAR ADULT DAY TREATMENT SERVICES LLC
Active
Organization
STAR ADULT DAY TREATMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE REYNOLDS (ADMINISTRATOR)
(313) 416-9000
Entity
Organization
Contact information
Practice address
16501 WYOMING ST, DETROIT, MI 48221-2848
(313) 416-9000
(313) 416-9002
Mailing address
13030 W 7 MILE RD, DETROIT, MI 48235-1335
(313) 416-9000
(313) 416-9002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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