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Organization

COMMUNITY NETWORK COMMUNITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM JASON VEJCIK LMSW, CAADC (SUPERVISOR)
(248) 871-1415
Entity
Organization

Contact information

Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
269 SUMMIT DR, WATERFORD, MI 48328-3364

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MI

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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