Organization
VICTORIA SUTTON
Active
Parent organization
VICTORIA SUTTON
Other names
ACTIVE FAMILY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
VICTORIA SUTTON
Authorized official
MS. VICTORIA SUTTON (EXECUTIVE DIRECTOR)
(847) 972-1709
Entity
Organization
Contact information
Practice address
14863 SORRENTO ST, DETROIT, MI 48227-3601
(847) 972-1709
Mailing address
14863 SORRENTO ST, DETROIT, MI 48227-3601
(847) 972-1709
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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