Organization
PARENT PLEDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA BEATRICE THOMPSON (COORDINATOR)
(248) 250-3891
Entity
Organization
Contact information
Practice address
26724 FRANKLIN POINTE DR, SOUTHFIELD, MI 48034-5626
(248) 250-3891
Mailing address
26724 FRANKLIN POINTE DR, SOUTHFIELD, MI 48034-5626
(248) 250-3891
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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