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Organization

TARGET POPULATION SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHELSEY R RICHARDSON (RECOVERY COACH)
(313) 521-0206
Entity
Organization

Contact information

Practice address
13627 GRATIOT AVE, DETROIT, MI 48205-3433
(313) 521-0206
(313) 521-0228
Mailing address
13627 GRATIOT AVE, DETROIT, MI 48205-3433
(313) 521-0206
(313) 521-0228

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
821198
MI

Other

Enumeration date
01/12/2009
Last updated
01/12/2009
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