Organization
VISTA MARIA GOOD SHEPHERD
Active
Other names
Program Manager
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HOWARD (PROGRAM MANAGER)
(313) 271-3050
Entity
Organization
Contact information
Practice address
20651 WEST WARREN, DEARBORN HEIGHTS, MI 48127
(313) 271-3050
Mailing address
20651 WEST WARREN, DEARBORN HEIGHTS, MI 48127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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