Organization
STAR CENTER
Active
Organization
STAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL L MCGILL CADC (CLIINICAL SUP.)
(313) 493-4410
Entity
Organization
Contact information
Practice address
13575 LESURE ST, DETROIT, MI 48227-3131
(313) 493-4410
(313) 493-4415
Mailing address
13575 LESURE ST, DETROIT, MI 48227-3131
(313) 493-4410
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
821426
MI
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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