Organization
DYNASTY NETWORK
Active
Other names
dynasty family health services
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA THROCKMORTON LAMS (EXECUTIVE DIRECTOR)
(734) 678-1363
Entity
Organization
Contact information
Practice address
40560 DOUGLAS DR APT 204, CANTON, MI 48188-1357
(734) 678-1363
Mailing address
40560 DOUGLAS DR APT 204, CANTON, MI 48188-1357
(734) 678-1363
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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