Organization
SOUL FIRE PRODUCTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARMENDER AMIA DAVIS (PRINCIPAL)
(313) 459-9869
Entity
Organization
Contact information
Practice address
440 BURROUGHS ST, DETROIT, MI 48202-3429
(313) 459-9869
Mailing address
29488 WOODWARD AVE, ROYAL OAK, MI 48073-0903
(248) 795-5187
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
03/17/2018
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