Organization
COUNTY OF WASHTENAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH CORTES (DIRECTOR)
(734) 544-3000
Entity
Organization
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3015
(734) 544-6732
Mailing address
555 TOWNER ST, PO BOX 915, YPSILANTI, MI 48198-5752
(734) 544-3015
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38604894
—
MI
Enumeration date
12/13/2010
Last updated
12/12/2011
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