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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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