Organization
NEW CENTURY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI L WEYMERS LBSW, C-SWCM, QMRP (SUPPORTS COORDINATOR)
(810) 234-7080
Entity
Organization
Contact information
Practice address
5095 VAN SLYKE RD, FLINT, MI 48507-3959
(810) 234-7080
(810) 235-4999
Mailing address
5095 VAN SLYKE RD, FLINT, MI 48507-3959
(810) 234-7080
(810) 235-4999
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802084608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802084608
MICHIGAN LICENSED BACHELORS SOCIAL WORKER
MI
Enumeration date
05/31/2013
Last updated
05/31/2013
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