Organization
CHILDREN'S ALLIANCE OF METRO DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CASEY CODEN BCBA (BEHAVIORAL THERAPIST)
(313) 330-9732
Entity
Organization
Contact information
Practice address
10 WITHERELL ST, SUITE 2702, DETROIT, MI 48226-1661
(313) 330-9732
Mailing address
10 WITHERELL ST, SUITE 2702, DETROIT, MI 48226-1661
(313) 330-9732
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C350108229
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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