Individual provider · NPI-1
London Asbury
Community/Behavioral Health · Detroit, MI
NPI number1669188025
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1669188025
- Entity type
- Individual (NPI-1)
- Name
- London Asbury
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2023
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
18983 Hamburg StDetroit, MI 48205-2146
Phone 517-275-2704
Mailing address
17323 Wildemere StDetroit, MI 48221-2722
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