Organization
JARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA STEWART MSW (CHIEF OPERATING OFFICER)
(248) 488-7537
Entity
Organization
Contact information
Practice address
7340 VERONA DR, WEST BLOOMFIELD, MI 48322-3340
(248) 538-6611
Mailing address
30301 NORTHWESTERN HWY, SUITE 100, FARMINGTON HILLS, MI 48334-3214
(248) 538-6611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AS630091783
MI
Other
Enumeration date
12/01/2016
Last updated
12/02/2016
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