Organization
NEW PASSAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY CHODOBA (TRAINER)
(248) 860-5749
Entity
Organization
Contact information
Practice address
175 N. GRORSEBECK HWY, MT. CLEMENS, MI 48043
(586) 627-0024
(586) 624-0027
Mailing address
175 N. GRORSEBECK HWY, MT. CLEMENS, MI 48043
(586) 627-0024
(586) 624-0027
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/07/2012
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