Organization
ANDERSON HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD MANUEL ANDERSON JR. CAC CPC (CEO)
(313) 205-0411
Entity
Organization
Contact information
Practice address
28366 FRANKLIN RIVER DR APT 106, SOUTHFIELD, MI 48034-5409
(313) 205-0411
(248) 996-8478
Mailing address
28366 FRANKLIN RIVER DR APT 106, SOUTHFIELD, MI 48034-5409
(313) 205-0411
(248) 996-8478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
822780
MI
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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