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Organization

DESTINY ENTERPRISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JESSICA MCNAYR CRC, LLPC (PRESIDENT)
(810) 820-7435
Entity
Organization

Contact information

Practice address
7226 LEBANON TRL, DAVISON, MI 48423-2300
(810) 820-7435
(810) 820-7438
Mailing address
7226 LEBANON TRL, DAVISON, MI 48423-2300
(810) 820-7435
(810) 820-7438

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401010253
MI
251B00000X
Case Management Agency
00099158
MI
251S00000X
Community/Behavioral Health Agency
Primary
00099158
MI

Other

Enumeration date
07/13/2010
Last updated
07/13/2010
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