Organization
CENTRIA HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA LAYVETTE RODGERS (ABA)
(313) 685-8733
Entity
Organization
Contact information
Practice address
19104 ELKHART ST, 19104 ELKHART, HARPER WOODS, MI 48225-2108
(313) 685-8733
Mailing address
19104 ELKHART ST, 19104 ELKHART, HARPER WOODS, MI 48225-2108
(313) 685-8733
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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