Organization
COLAT OUTREACH MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA ANNETTE BRADLEY (DIRECTOR)
(313) 387-0036
Entity
Organization
Contact information
Practice address
9321 WILDEMERE ST, DETROIT, MI 48206-1975
(313) 387-0036
Mailing address
9321 WILDEMERE ST, DETROIT, MI 48206-1975
(313) 387-0036
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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