Organization
BUILDING BLOCKS1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMEELA CLARK (EXECUTIVE DIRECTOR)
(313) 758-7140
Entity
Organization
Contact information
Practice address
19651 CARDONI ST, DETROIT, MI 48203-1325
(313) 758-7140
Mailing address
19651 CARDONI ST, DETROIT, MI 48203-1325
(313) 758-7140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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