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Organization

GREAT LAKES CHILDREN CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADA IROEGBU (DIRECTOR)
(248) 635-7512
Entity
Organization

Contact information

Practice address
21088 WESTLAND DR, SOUTHFIELD, MI 48075-7945
(248) 635-7512
Mailing address
21088 WESTLAND DR, SOUTHFIELD, MI 48075-7945
(248) 635-7512

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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