Individual
KIMBERLY SANDERS
Active
Individual
KIMBERLY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
AS820418004
MI
3104A0625X
Assisted Living Facility (Mental Illness)
AS820418004
MI
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AS820418004
MI
315P00000X
Intellectual Disabilities Intermediate Care Facility
AS820418004
MI
Other
Enumeration date
08/04/2025
Last updated
09/19/2025
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