Individual
MR. ERIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11656 YELLOWSTONE ST, DETROIT, MI 48204-1426
(313) 461-7187
Mailing address
11656 YELLOWSTONE ST, DETROIT, MI 48204-1426
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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