Organization
TODD-PHILLIPS CHILDREN'S HOME
Active
Parent organization
TODD-PHILLIPS CHILDREN'S HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
TODD-PHILLIPS CHILDREN'S HOME
Authorized official
MS. ZELDA REE WILLIAMS (EXECUTIVE DIRECTOR)
(313) 556-8030
Entity
Organization
Contact information
Practice address
1151 TAYLOR ST UNIT 3A4A, DETROIT, MI 48202-1732
(313) 556-8030
(313) 556-8036
Mailing address
1151 TAYLOR ST UNIT 3A4A, DETROIT, MI 48202-1732
(313) 556-8030
(313) 556-8036
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
823045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801-098 (CID)
—
MI
Enumeration date
11/19/2008
Last updated
11/19/2008
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