Individual
DIONNE STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MASSACHUSETTS ST, HIGHLAND PARK, MI 48203-3538
(313) 736-7824
Mailing address
117 MASSACHUSETTS ST, HIGHLAND PARK, MI 48203-3538
(313) 736-7824
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS820381048
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS820381048
MI
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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