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Organization

POSITIVE IMAGES

Active
Parent organization
POSITIVE IMAGES
Other names
Positive Images II
Organization subpart
Yes

Provider details

NPI number
Legal business name
POSITIVE IMAGES
Authorized official
MS. MAISHA KENYATTA LMSW (EXECUTIVE)
(313) 822-1148
Entity
Organization

Contact information

Practice address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1148
Mailing address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1148

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
822778
MI

Other

Enumeration date
04/09/2007
Last updated
10/03/2007
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