Organization
CASITA DE IXCHELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA ESCAMILLA DURAN (OWNER)
(323) 246-6652
Entity
Organization
Contact information
Practice address
1204 JUNCTION ST, DETROIT, MI 48209-2461
(323) 225-8685
Mailing address
1204 JUNCTION ST, DETROIT, MI 48209-2461
(323) 225-8685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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