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Organization

GABRIEL'S NEST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERMAINE GABRIEL (PRESIDENT)
(248) 789-8769
Entity
Organization

Contact information

Practice address
17915 LOUISE ST, SOUTHFIELD, MI 48075-3490
(248) 789-8769
(805) 299-4989
Mailing address
PO BOX 250275, WEST BLOOMFIELD, MI 48325-0275
(248) 789-8769
(805) 299-4989

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS630299676
MI

Other

Enumeration date
05/02/2010
Last updated
05/02/2010
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