Organization
SPRINGWELL ADULT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STORMEY DENISE JACKSON LLMSW (CLINICAL DIRECTOR)
(248) 252-7050
Entity
Organization
Contact information
Practice address
21122 INDIAN ST, SOUTHFIELD, MI 48033-3579
(248) 252-7050
Mailing address
23469 RANCH HILL DR W, SOUTHFIELD, MI 48033-3187
(248) 252-7050
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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