Organization
CB SUPPORTS OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL BENEDEK (CEO)
(718) 336-6073
Entity
Organization
Contact information
Practice address
24730 HARDING ST, OAK PARK, MI 48237-1549
(718) 633-4411
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(718) 336-6073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
12/23/2020
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