Organization
DETROIT EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH CICHON (COO)
(313) 626-2321
Entity
Organization
Contact information
Practice address
8925 E JEFFERSON AVE, APT 14 SOUTH, DETROIT, MI 48214-4183
(313) 384-8449
Mailing address
8925 E JEFFERSON AVE, APT 14 SOUTH, DETROIT, MI 48214-4183
(313) 384-8449
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801015243
MI
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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