Organization
EMPOWER SHECOLBY'S MOVEMENT LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHECOLBY LEMAY GREEN N/A (OWNER)
(313) 492-2781
Entity
Organization
Contact information
Practice address
5517 JOHN C LODGE FWY, DETROIT, MI 48202-3346
(313) 492-2781
Mailing address
5517 JOHN C LODGE FWY, DETROIT, MI 48202-3346
(313) 492-2781
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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