| Circle Of Life Outreach Services | |
|
15491 Troester St Detroit MI 48205-3566 | |
| (734) 961-2409 | |
| Not Available |
| Full Name | Circle Of Life Outreach Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15491 Troester St, Detroit, Michigan |
| Authorized Official Name and Position | Lawanda Drayton (CO-OWNER) |
| Authorized Official Contact | 7349612409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Life Outreach Services 15491 Troester Detroit MI 48205 Ph: () - | Circle Of Life Outreach Services 15491 Troester St Detroit MI 48205-3566 Ph: (734) 961-2409 |
| NPI Number | 1255633699 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255633699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Michigan) | Primary |
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