Organization
THE LIVING ROOM DROP IN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LOUISE JEFFERSON BA, CPSS, MH ED., (EXECUTIVE DIRECTOR)
(313) 623-1712
Entity
Organization
Contact information
Practice address
700 SEWARD ST, 512, DETROIT, MI 48202-2427
(313) 638-1712
Mailing address
2780 E GRAND BLVD STREET, 200, DETROIT, MI 48202-2427
(313) 638-1712
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
MI
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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