Organization
MENTORS OF MICHIGAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN DEVEREAUX (PRESIDENT)
(248) 632-3534
Entity
Organization
Contact information
Practice address
10140 CURTIS LN, WHITE LAKE, MI 48386-3813
(248) 360-1714
Mailing address
3812 FINCH DR, TROY, MI 48084-1667
(248) 632-3534
(248) 269-7167
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS630273674
MI
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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