Organization
CM ORG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN WILLIAMS (CEO)
(248) 636-5758
Entity
Organization
Contact information
Practice address
7621 PARKLAND, DETROIT, MI 48239-1031
(248) 636-5758
Mailing address
7621 PARKLAND, DETROIT, MI 48239-1031
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
1801249222
—
281P00000X
Chronic Disease Hospital
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
—
MI
Other
Enumeration date
07/20/2016
Last updated
08/08/2016
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