Organization
2ND HOME ADULT DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CATHERINE GRAYSON (OWNER)
(248) 225-0039
Entity
Organization
Contact information
Practice address
19311 VOTROBECK DR, DETROIT, MI 48219-2600
(248) 225-0039
Mailing address
19311 VOTROBECK DR, DETROIT, MI 48219-2600
(248) 225-0039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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