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Organization

BENEVOLENT SOCIETY

Active
Other names
Benevolent Society
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES EDWARD WILLIAMS II MSW (EXECUTIVE DIRECTOR)
(313) 355-2150
Entity
Organization

Contact information

Practice address
6100 14TH ST, DETROIT, MI 48208-1310
(313) 355-2150
Mailing address
6100 14TH ST, DETROIT, MI 48208-1310
(313) 355-2150

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
251B00000X
Case Management Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/26/2020
Last updated
12/26/2020
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