Organization
WAYNE COUNTY JAIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AGRON MYFTARI LMSW (CLINICAL SOCIAL WORKER)
31338249377
Entity
Organization
Contact information
Practice address
570 CLINTON ST, DETROIT, MI 48226-2334
(313) 224-0715
Mailing address
570 CLINTON ST, DETROIT, MI 48226-2334
(313) 224-0715
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
6801071336
MI
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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