Organization
NEW LIFE COUNSELING AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK EYO (CEO)
(313) 465-5111
Entity
Organization
Contact information
Practice address
19421 TIREMAN ST, DETROIT, MI 48228-3337
(313) 204-5931
Mailing address
19421 TIREMAN AVE, DETROIT, MI 48228
(313) 465-5111
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6301015504
MI
385H00000X
Respite Care
6301015504
MI
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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