Organization
TRINITY MIHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHINA SMITH LMSW, MPH (ADMINISTRATOR)
(313) 304-2353
Entity
Organization
Contact information
Practice address
16821 MARK TWAIN ST, DETROIT, MI 48235-4066
(313) 999-8724
Mailing address
16821 MARK TWAIN ST, DETROIT, MI 48235-4066
(313) 999-8724
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
6801078286
MI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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