Organization
COMMUNITY NETWORK SERVICES
Active
Other names
CNS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA PETTWAY-NORRIS LMSW (SUPERVISOR)
(248) 745-4900
Entity
Organization
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 520-2454
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 520-2454
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
680175248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680175248
SOCIAL WORK
MI
Enumeration date
08/21/2013
Last updated
08/21/2013
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