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Organization
NTERVENE
Active
Organization
NTERVENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MILLS (OWNER)
(734) 480-8065
Entity
Organization
Contact information
Practice address
32 N WASHINGTON ST STE 7A, YPSILANTI, MI 48197-2662
(734) 480-8065
Mailing address
32 N WASHINGTON ST STE 7A, YPSILANTI, MI 48197-2662
(734) 480-8065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/12/2022
Last updated
03/02/2023
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