Organization
PASSAGES COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE BOWLING (EXECUTIVE DIRECTOR)
(734) 454-3691
Entity
Organization
Contact information
Practice address
1220 PALMER ST, PLYMOUTH, MI 48170-2053
(734) 454-3691
(734) 737-9104
Mailing address
PO BOX 6387, PLYMOUTH, MI 48170-8487
(734) 454-3691
(734) 737-9104
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
06/30/2008
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