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Organization
C3 TRANSITIONING INC
Active
Organization
C3 TRANSITIONING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA L WILLIS (CHIEF EXECUTIVE OFFICER)
(248) 904-2377
Entity
Organization
Contact information
Practice address
7151 MARTIN RD, IMLAY CITY, MI 48444-9303
(248) 904-2377
Mailing address
7151 MARTIN RD, IMLAY CITY, MI 48444-9303
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QV0200X
VA Clinic/Center
—
NULL
Other
Enumeration date
05/02/2016
Last updated
05/07/2016
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