Organization
COMMON GROUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA JOI BYRD LLMSW (CRISIS INTERVENTIONIST II)
(248) 977-5629
Entity
Organization
Contact information
Practice address
1410 S TELEGRAPH RD, BLOOMFIELD, MI 48302-0046
(248) 456-8150
Mailing address
1410 S TELEGRAPH RD, BLOOMFIELD, MI 48302-0046
(248) 456-8150
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6801090900
MI
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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