Organization
AUTUMN WOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADINE ROGERS (OWNER)
(313) 974-5120
Entity
Organization
Contact information
Practice address
15988 CRYSTAL DOWNS E, NORTHVILLE, MI 48168-8481
(313) 974-5120
Mailing address
15988 CRYSTAL DOWNS E, NORTHVILLE, MI 48168-8481
(313) 974-5120
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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