Organization
METRO EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ARMSTRONG (BILLING SPECIALIST)
(313) 371-7770
Entity
Organization
Contact information
Practice address
13627 GRATIOT AVE, DETROIT, MI 48205-3433
(313) 371-7770
(313) 371-1409
Mailing address
19156 WALTHAM ST, DETROIT, MI 48205-2123
(313) 371-7770
(313) 371-1409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8212005
MI
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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