Organization
PREMIER CARE WARREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRIS MONIQUE LEWIS (SUBSTANCE ABUSE THERAPIST)
(586) 758-6670
Entity
Organization
Contact information
Practice address
23700 VAN DYKE AVE, WARREN, MI 48089-1600
(586) 758-6670
Mailing address
20205 SORRENTO ST, DETROIT, MI 48235-1191
(313) 585-8389
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1-04845
MI
251S00000X
Community/Behavioral Health Agency
Primary
6803085617
MI
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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