Organization
SUPPORT MANAGEMENT SERVICES, LLC
Active
Organization
SUPPORT MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA STAFFORD (CLINICAL DIRECTOR)
(734) 266-6800
Entity
Organization
Contact information
Practice address
32231 SCHOOLCRAFT RD, SUITE 210, LIVONIA, MI 48150-4312
(734) 266-6800
Mailing address
32231 SCHOOLCRAFT RD, SUITE 210, LIVONIA, MI 48150-4312
(734) 266-6800
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
6801019488
MI
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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