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Organization

BAKERS COMMUNITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WILMA KAY BAKER (PRESIDENT)
(313) 622-8201
Entity
Organization

Contact information

Practice address
1017 VINSETTA BLVD, ROYAL OAK, MI 48067-1020
(313) 622-8201
Mailing address
8083 WARD ST, DETROIT, MI 48228-2713
(313) 622-8201

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS630302466
MI

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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