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Organization
CHRIST CHILD SOCIETY OF DETROIT
Active
Organization
CHRIST CHILD SOCIETY OF DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ELLEN HINES (DIRECTOR OF FINANCE)
(313) 584-6077
Entity
Organization
Contact information
Practice address
15751 JOY RD, DETROIT, MI 48228-2117
(313) 584-6077
(313) 584-1148
Mailing address
15751 JOY RD, DETROIT, MI 48228-2117
(313) 584-6077
(313) 584-1148
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
CI820201063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2765915
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH - MEDICAL SERVICES ADMINISTRATION
MI
Enumeration date
02/22/2010
Last updated
03/21/2013
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