Organization
DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES
Active
Other names
DCDHS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA L DERRICK BSHCS (PRESIDENT, CEO)
(313) 915-2644
Entity
Organization
Contact information
Practice address
5010 31ST ST, DETROIT, MI 48210-2537
(313) 915-2644
Mailing address
PO BOX 252982, WEST BLOOMFIELD, MI 48325-2982
(313) 915-2644
(248) 661-5024
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2009
Last updated
01/28/2010
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