Organization
PROFESSIONAL CARE INITIATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN COLE (DIRECTOR OF BOARD)
(313) 925-4606
Entity
Organization
Contact information
Practice address
1799 E GRAND BLVD, DETROIT, MI 48211-3145
(313) 925-4606
Mailing address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 925-4606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
799508
STATE CORPORATION CODE
MI
Enumeration date
04/16/2008
Last updated
04/16/2008
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