Organization
CIRCLE OF LIFE OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANDA DRAYTON (CO-OWNER)
(734) 961-2409
Entity
Organization
Contact information
Practice address
15491 TROESTER ST, DETROIT, MI 48205-3566
(734) 961-2409
Mailing address
15491 TROESTER, DETROIT, MI 48205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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