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Organization

FULL LIFE INDEPENDENCE, LLC

Active
Parent organization
WASHTENAW COUNTY CSTS
Other names
Washtenaw Community Mental Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
WASHTENAW COUNTY CSTS
Authorized official
MS. ROCHELLE LYNN STOLER (ASSISTANT DIRECTOR)
(734) 741-1227
Entity
Organization

Contact information

Practice address
1019 E SUMMERFIELD GLEN CIR, ANN ARBOR, MI 48103-9163
(734) 741-1227
(734) 369-2419
Mailing address
3893 S MICHAEL RD, ANN ARBOR, MI 48103-9345
(734) 665-7303
(734) 369-2419

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/19/2018
Last updated
11/19/2018
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