Organization
POEM HUMANSERVICE DEVELOPMENT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL MORRIS TAYLOR JR. CACM (PRESIDENT)
(313) 896-7238
Entity
Organization
Contact information
Practice address
4720 JUNCTION ST, DETROIT, MI 48210-2518
(313) 410-1829
(313) 896-1114
Mailing address
3372 18TH ST, DETROIT, MI 48208-2550
(313) 896-7238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-00079
MI
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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