Organization
CATALYST FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE JEAN MCCLOSKEY (CEO/PRESIDENT)
(734) 756-7036
Entity
Organization
Contact information
Practice address
30546 AVONDALE ST, WESTLAND, MI 48186-5023
(734) 756-7036
Mailing address
30546 AVONDALE ST, WESTLAND, MI 48186-5023
(734) 756-7036
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
832566
MI
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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