Organization
KATIE EDWARDS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL C HAIGHT LBSW (LICENSEE)
(313) 341-4323
Entity
Organization
Contact information
Practice address
8635 W 7 MILE RD, DETROIT, MI 48221-2041
(313) 341-4323
(313) 341-4323
Mailing address
8635 W 7 MILE RD, DETROIT, MI 48221-2041
(313) 341-4323
(313) 341-4323
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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