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Organization

WOLVERINE HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER GUMBLETON (VICE PRESIDENT & CFO)
(313) 886-4259
Entity
Organization

Contact information

Practice address
150 ENTERPRISE DR, VASSAR, MI 48768-9584
(989) 823-3040
Mailing address
17000 E WARREN AVE, DETROIT, MI 48224-2358
(313) 886-4259
(313) 886-4857

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
MI

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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