Individual
ADRIENNE FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18403 KENTUCKY ST, DETROIT, MI 48221-2029
(313) 215-2303
Mailing address
29350 MARIMOOR DR, SOUTHFIELD, MI 48076-1615
(313) 334-1953
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS820288859
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS820341954
MI
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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