Organization
JUSTIN CHARGE ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN MICHAEL THORNE BA QIDP QMHP (PRESIDENT/SUPPORTS COORDINATOR)
(586) 610-3656
Entity
Organization
Contact information
Practice address
37156 ROBINHOOD DR APT 111, STERLING HEIGHTS, MI 48312-2382
(586) 610-3656
(586) 250-0425
Mailing address
37156 ROBINHOOD DR APT 111, STERLING HEIGHTS, MI 48312-2382
(586) 610-3656
(586) 250-0425
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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