Organization
CHILDRENS CENTER
Active
Other names
Childrens Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRELL PARKER MSW (CARE MANAGER)
(313) 324-8552
Entity
Organization
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W.ALEXANDRINE, DETROIT, MI 48201
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801093838
MI
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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