Organization
ANGEL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LYNN GOLLIDAY LLMSW (CEO)
(313) 878-2735
Entity
Organization
Contact information
Practice address
13934 GRANDMONT AVE, DETROIT, MI 48227-1308
(313) 878-2735
(313) 273-8081
Mailing address
13934 GRANDMONT AVE, DETROIT, MI 48227-1308
(313) 878-2735
(313) 273-8081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801086187
MI
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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