Organization
STARS THERAPUTIC SERVICES AND ADULT DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAESHAWNDRA JETT MSW (CLINICAL DIRECTOR)
(248) 705-0604
Entity
Organization
Contact information
Practice address
4238 COMMONWEALTH ST, DETROIT, MI 48208-2911
(248) 705-0604
Mailing address
4238 COMMONWEALTH ST, DETROIT, MI 48208-2911
(248) 705-0604
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6801092554
MI
Other
Enumeration date
11/05/2013
Last updated
11/22/2013
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