Organization
KIM DEMBROSKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM M DEMBROSKY LBSW (SUPPORTS COORDINATOR)
(248) 276-8093
Entity
Organization
Contact information
Practice address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8000
(248) 276-9280
Mailing address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8000
(248) 276-9280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6802080970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
MI
Enumeration date
04/23/2009
Last updated
04/30/2009
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