Organization
ITS JUST FOR ME CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH F SMITH LLMSW (EXECUTIVE DIRECTOR)
(313) 282-5948
Entity
Organization
Contact information
Practice address
18681 CHERRYLAWN ST, DETROIT, MI 48221-2045
(313) 282-5948
Mailing address
18681 CHERRYLAWN ST, DETROIT, MI 48221-2045
(313) 282-5948
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
6801090126
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801090126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801090126
SOCIAL WORK LICENSE
MI
Enumeration date
08/12/2010
Last updated
08/12/2010
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