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Organization

MATRIX HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCELLA WILSON PH.D. (CHIEF EXECUTIVE OFFICER)
(313) 831-1000
Entity
Organization

Contact information

Practice address
120 PARSONS ST, DETROIT, MI 48201-2002
(313) 831-1000
Mailing address
120 PARSONS ST, DETROIT, MI 48201-2002
(313) 831-1000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301088119
MI
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
05/19/2014
Last updated
04/29/2015
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