Organization
AFFECTING CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE D CHARLEY MSW (OWNER)
(313) 587-9869
Entity
Organization
Contact information
Practice address
22511 TELEGRAPH RD STE 128, SOUTHFIELD, MI 48033-4130
(248) 905-1126
(313) 209-8989
Mailing address
22511 TELEGRAPH RD STE 128, SOUTHFIELD, MI 48033-4130
(248) 905-1126
(313) 209-8989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
D25724
MI
Other
Enumeration date
07/16/2011
Last updated
03/21/2022
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