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Organization

CENTRAL CARE MANAGEMENT ORGANIZATION

Active
Other names
Center for Youth & Families
Organization subpart
No

Provider details

NPI number
Authorized official
MR. REGINALD CHARLES TERRY SR. MA, LPC (PREVENTION DIRECTOR)
(313) 875-2092
Entity
Organization

Contact information

Practice address
3031 W GRAND BLVD STE 370, DETROIT, MI 48202-3008
(313) 875-2092
(313) 875-2092
Mailing address
3031 W GRAND BLVD STE 370, DETROIT, MI 48202-3008
(313) 875-2092
(313) 875-2146

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
405300000X
Prevention Professional
Primary

Other

Enumeration date
01/06/2021
Last updated
01/06/2021
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