Individual
JOY HOPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 HICKORY BARK LN, BLOOMFIELD, MI 48304-1147
(248) 514-4070
Mailing address
1734 HICKORY BARK LN, BLOOMFIELD, MI 48304-1147
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AF630342386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44254373
—
MI
Enumeration date
06/13/2017
Last updated
06/29/2017
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