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Organization

SYNOD RESIDENTIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KETA J COWAN JD (EXECUTIVE DIRECTOR)
(734) 483-9363
Entity
Organization

Contact information

Practice address
615 S MANSFIELD ST, YPSILANTI, MI 48197-5156
(734) 483-9363
(734) 483-9557
Mailing address
PO BOX 980465, YPSILANTI, MI 48198-0465
(734) 483-9363
(734) 483-9557

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/10/2006
Last updated
08/22/2020
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