Organization
PROFESSIONAL PREVENTIVE RESTORATION & CONSULTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODEATHER HILL (CEO)
(313) 247-2327
Entity
Organization
Contact information
Practice address
17314 FARMINGTON RD, LIVONIA, MI 48152-3158
(734) 421-7772
Mailing address
17314 FARMINGTON RD, LIVONIA, MI 48152-3158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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