Organization
FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARISSA MONIQUE (VNA THEARPIST)
(313) 802-1591
Entity
Organization
Contact information
Practice address
19855 OUTER DR, STE.104, DEARBORN, MI 48124-2022
(313) 274-5840
Mailing address
20420 ROSCOMMON ST, HARPER WOODS, MI 48225-2259
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/12/2013
Last updated
01/12/2013
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