Organization
SERVICES TO ENHANCE POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARIA LASHAWN WHITE (RESOURCE CENTER DIRECTOR)
(313) 267-9777
Entity
Organization
Contact information
Practice address
4700 BEAUFAIT ST, DETROIT, MI 48207-1372
(313) 267-9777
(313) 921-9131
Mailing address
4700 BEAUFAIT ST, DETROIT, MI 48207-1372
(313) 267-9777
(313) 921-9131
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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