Organization
CIRCLE OF LIFE MIHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHA HUNTER (COO)
(734) 673-6860
Entity
Organization
Contact information
Practice address
23403 HAIG ST, TAYLOR, MI 48180-3425
(734) 673-6860
Mailing address
23403 HAIG ST, TAYLOR, MI 48180-3425
(734) 673-6860
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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