Organization
ANDEL THERAPEUTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDNA T. WALKER (CEO)
(313) 792-2805
Entity
Organization
Contact information
Practice address
5555 CONNER ST STE 3265, DETROIT, MI 48213-3487
(313) 792-2805
Mailing address
15754 ASHTON RD, DETROIT, MI 48223-1304
(313) 792-2805
(313) 792-2805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801007547
MI
Other
Enumeration date
09/02/2009
Last updated
09/02/2011
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