Organization
INNERMAN COMMUNITY OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK GILLISON SR. (EXECUTIVE DIRECTOR)
(313) 656-7972
Entity
Organization
Contact information
Practice address
239 CHERRY ST, TRENTON, MI 48183-2725
(313) 656-7972
Mailing address
239 CHERRY ST, TRENTON, MI 48183-2725
(313) 656-7972
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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