Organization
LATINO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIDIA REYES (OWNER)
(313) 400-8000
Entity
Organization
Contact information
Practice address
1145 LAWNDALE ST, DETROIT, MI 48209-1725
(313) 279-3232
(313) 416-1398
Mailing address
1145 LAWNDALE ST, DETROIT, MI 48209-1725
(313) 279-3232
(313) 416-1398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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