Organization
HYDRO PLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ELLIOTT (OFFICE MANAGER)
(313) 207-2646
Entity
Organization
Contact information
Practice address
21776 COLONY PARK CIR APT 203, SOUTHFIELD, MI 48076-1658
(248) 800-9422
Mailing address
27500 BERKSHIRE DR, SOUTHFIELD, MI 48076-4954
(313) 207-2646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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