Organization
DORA AND RUBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHELLE BUSSELL (PRESIDENT)
(248) 987-4575
Entity
Organization
Contact information
Practice address
33432 OAKLAND ST, FARMINGTON, MI 48335-3537
(248) 987-4575
Mailing address
33432 OAKLAND ST, FARMINGTON, MI 48335-3537
(248) 987-4575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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