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Organization
ST. JOHN PROVIDENCE COMMUNITY HEALTH
Active
Organization
ST. JOHN PROVIDENCE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE HARVEY III (BEHAVIORAL HEALTH COUNSELOR)
(313) 372-5974
Entity
Organization
Contact information
Practice address
11600 E 7 MILE RD, DETROIT, MI 48205-2112
(313) 372-5974
Mailing address
11600 E 7 MILE RD, DETROIT, MI 48205-2112
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6401013184
MI
Other
Enumeration date
11/05/2015
Last updated
11/18/2015
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