Organization
NORTHEAST GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY MCRILL LLP (VICE PRESIDENT)
(313) 308-1400
Entity
Organization
Contact information
Practice address
2900 CONNER ST, STE A, DETROIT, MI 48215
(313) 308-1400
Mailing address
2900 CONNER ST, DETROIT, MI 48215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401011079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401011079
—
MI
Enumeration date
03/16/2011
Last updated
03/16/2011
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