Individual
MR. JAY ANDRE YOUNG SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203
(313) 365-3100
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2008
Last updated
07/18/2011
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