Organization
CENTRIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONNISE JENNINGS (BEHAVIORAL TECHNICIAN)
(313) 205-9490
Entity
Organization
Contact information
Practice address
17591 SANTA ROSA DR, DETROIT, MI 48221-2644
(313) 205-9490
Mailing address
17591 SANTA ROSA DR, DETROIT, MI 48221-2644
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
07/08/2016
Last updated
07/21/2022
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