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Care Choice Adult Program INC

Social Worker, Clinical in Detroit, MI. Organization (NPI-2).

NPI number1144601774
StatusActive
Last updated in NPPESJun 16, 2015

Details

NPI
1144601774
Entity type
Organization (NPI-2)
Legal business name
Care Choice Adult Program INC
Organization subpart
No
Enumeration date
Jun 9, 2015
Last updated
Jun 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical–MIYes

Practice location

14200 Puritan St
Detroit, MI 48227-3323

Phone 313-270-2773

Mailing address

14200 Puritan St
Detroit, MI 48227-3323

Phone 313-270-2773

Authorized official

Nelissa Nash
Administrator
2486864926

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