Organization
DAMON'S HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LERRLYN NELSON PH.D (FOUNDER)
(313) 245-2731
Entity
Organization
Contact information
Practice address
11900 E MCNICHOLS RD, DETROIT, MI 48205-3357
(313) 245-2731
(313) 245-2734
Mailing address
11900 E MCNICHOLS RD, DETROIT, MI 48205-3357
(313) 245-2731
(313) 245-2734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801009243
MI
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
383016540
MI
347C00000X
Private Vehicle
383016540
MI
Other
Enumeration date
10/05/2006
Last updated
09/02/2009
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