Organization
CVM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEREZ E EDMONDS (OPERATIONS MANAGER)
(614) 216-8980
Entity
Organization
Contact information
Practice address
5555 CONNER ST STE 3096, DETROIT, MI 48213-3817
(313) 574-0237
Mailing address
1140 CHICAGO BLVD, DETROIT, MI 48202-1419
(614) 216-8980
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801088243
MI
Other
Enumeration date
01/03/2012
Last updated
03/20/2012
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