Organization
DREAMTEK YOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D LANE CHW (OFFICE)
(248) 247-4623
Entity
Organization
Contact information
Practice address
15400 GRAND RIVER AVE LOWR LVL, DETROIT, MI 48227-4124
(248) 247-4623
Mailing address
15400 GRAND RIVER AVE LOWR LVL, DETROIT, MI 48227-4124
(248) 247-4623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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