Organization
NORTHEND VILLAGE NON-PROFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MACKIE (MEMBER)
(313) 363-7018
Entity
Organization
Contact information
Practice address
8904 WOODWARD AVE, DETROIT, MI 48202-1821
(313) 363-7018
(248) 608-8592
Mailing address
22745 CAMBRIDGE AVE, DETROIT, MI 48219-1725
(313) 363-7018
(248) 608-8592
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
01/31/2022
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