Organization
BRIDGES R.E.S.P.I.T.E SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERYL WILLIAMS PHD, LMSW (EXECUTIVE DIRECTOR)
(734) 658-3273
Entity
Organization
Contact information
Practice address
8598 INDIGO CT, YPSILANTI, MI 48197-1068
(734) 658-3273
(734) 484-5475
Mailing address
PO BOX 87474, CANTON, MI 48187-0474
(734) 658-3273
(734) 484-5475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085796
MI
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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