Organization
IS-CARE CLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWYNEVERE M. COLES (FOUNDER & DIRECTOR)
(313) 706-7237
Entity
Organization
Contact information
Practice address
1777 N RADEMACHER ST, DETROIT, MI 48209-2049
(313) 894-1630
(313) 894-1648
Mailing address
16524 ROSEMONT, DETROIT, MI 48219
(313) 706-7237
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
07/16/2015
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