Organization
PROJECT 162 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE WHITE (MEMBER)
(313) 409-6300
Entity
Organization
Contact information
Practice address
17126 ILENE ST, DETROIT, MI 48221-2433
(313) 409-6300
Mailing address
17126 ILENE ST, DETROIT, MI 48221-2433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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