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Organization
SAFE WITH SELF BHTC
Active
Organization
SAFE WITH SELF BHTC
Active
Other names
SAFE WITH SELF BHTC
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSAM SHUKAIRY (CREDENTIALIN)
(810) 780-4181
Entity
Organization
Contact information
Practice address
2109 MARTIN LUTHER KING AVE, FLINT, MI 48503-1027
(810) 335-4366
Mailing address
329 LETA AVE, FLINT, MI 48507-2727
(810) 335-4366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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