Organization
PACKARD GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS MARIE SLEDGE LMSW (PROVIDER)
(313) 350-4731
Entity
Organization
Contact information
Practice address
731 PALLISTER ST, DETROIT, MI 48202-2418
(313) 872-7826
(313) 731-1771
Mailing address
PO BOX 2066, SOUTHFIELD, MI 48037-2066
(313) 350-0744
(313) 731-1771
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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