Organization
NEW FOUNDATION 180 OUTREACH MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ROBINSON (DIRECTOR)
(248) 752-1279
Entity
Organization
Contact information
Practice address
22319 LA SEINE ST APT 301, SOUTHFIELD, MI 48075-4044
(248) 752-1279
(245) 855-9624
Mailing address
22319 LA SEINE ST APT 301, SOUTHFIELD, MI 48075-4044
(248) 752-1279
(245) 855-9624
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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