Organization
METROPOLITAN AGENCY FOR RETARDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD HAYNES LMSW (DIRECTOR OF CLINCIAL SERVICES)
(313) 965-6655
Entity
Organization
Contact information
Practice address
65 CADILLAC SQ, SUITE 2933, DETROIT, MI 48226-2844
(313) 965-6655
(313) 965-3976
Mailing address
65 CADILLAC SQ, SUITE 2933, DETROIT, MI 48226-2844
(313) 965-6655
(313) 965-3976
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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