Organization
GREAT FUTURES MATERNAL INFANT HEALTH PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHAWN MYERS MSW (SOCIAL WORKER)
(313) 737-0018
Entity
Organization
Contact information
Practice address
15892 ORCHARD LN, ROSEVILLE, MI 48066-5215
(313) 737-0018
Mailing address
15892 ORCHARD LN, ROSEVILLE, MI 48066-5215
(313) 737-0018
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6802080544
MI
251K00000X
Public Health or Welfare Agency
Primary
6802080544
MI
251S00000X
Community/Behavioral Health Agency
6802080544
MI
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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