Organization
WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM
Active
Other names
WCHAP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMETTA LILLY (CHIEF EXECUTIVE OFFICER)
(313) 863-2427
Entity
Organization
Contact information
Practice address
17567 HUBBELL ST, DETROIT, MI 48235-2708
(313) 863-2427
(313) 863-5183
Mailing address
17567 HUBBELL ST, DETROIT, MI 48235-2708
(313) 863-2427
(313) 863-5183
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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