Organization
NEW LIFE COUNSELING AND COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JUMBO EYO (PRESIDENT/CEO)
(313) 465-5111
Entity
Organization
Contact information
Practice address
7810 SOUTHFIELD FWY, DETROIT, MI 48228-3580
(313) 465-5111
Mailing address
7810 SOUTHFIELD FWY, DETROIT, MI 48228-3580
(313) 465-5111
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
6301015504
MI
Other
Enumeration date
06/23/2014
Last updated
08/13/2014
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