Organization
B&R HOLISTIC CARE HOUSING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHA ODESSA ROSSON LMSW (LICENSED CLINICAL SOCIAL WORKER)
(313) 293-4268
Entity
Organization
Contact information
Practice address
19303 MARK TWAIN ST, DETROIT, MI 48235-1914
(313) 850-6052
Mailing address
3832 MIRACLES BLVD, DETROIT, MI 48201-1515
(313) 293-4268
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
E8830U
MI
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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