Organization · NPI-2

5k Adult Day Care Corporation

Social Worker, Clinical · Detroit, MI

NPI number1023389202
StatusActive
Last updated in NPPESJan 20, 2012

Details

NPI
1023389202
Entity type
Organization (NPI-2)
Legal business name
5k Adult Day Care Corporation
Organization subpart
No
Enumeration date
Jan 20, 2012
Last updated
Jan 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

16352 E. Warren
Detroit, MI 48224-2716

Phone 313-642-1412

Mailing address

16352 E. Warren
Detroit, MI 48224-2716

Authorized official

Kirk Young
Owner
3136421412

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