Organization
SANKOFA HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENS SANDAIRE DO (CEO)
(313) 574-8579
Entity
Organization
Contact information
Practice address
22690 ROUGEMONT DR, SOUTHFIELD, MI 48033-5963
(313) 574-8579
Mailing address
22690 ROUGEMONT DR, SOUTHFIELD, MI 48033-5963
(313) 574-8579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101011931
MI
Other
Enumeration date
06/01/2010
Last updated
07/29/2016
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