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Organization
CHILDREN'S ALLIANCE OF METRO DETROIT
Active
Organization
CHILDREN'S ALLIANCE OF METRO DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CASEY CODEN BCBA (BEHAVIORAL THERAPIST)
(313) 330-9732
Entity
Organization
Contact information
Practice address
10 WITHERELL ST, SUITE 2702, DETROIT, MI 48226-1661
(313) 330-9732
Mailing address
10 WITHERELL ST, SUITE 2702, DETROIT, MI 48226-1661
(313) 330-9732
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C350108229
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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