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Organization

A NEW BEGINNING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALDINE PORTERFIELD (PRESIDENT/CEO)
(248) 631-8517
Entity
Organization

Contact information

Practice address
2690 WEST BOSTON BLVD, DETROIT, MI 48206-1751
(248) 631-8517
Mailing address
PO BOX 250131, WEST BLOOMFIELD, MI 48325
(248) 631-8517

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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