| Dominion Adult Day Care And Therapeutic Clinic | |
|
12601 E Canfield St Detroit MI 48215-2210 | |
| (313) 586-2249 | |
| Not Available |
| Full Name | Dominion Adult Day Care And Therapeutic Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12601 E Canfield St, Detroit, Michigan |
| Authorized Official Name and Position | Billie R Smith (PARTNER) |
| Authorized Official Contact | 3135862249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Adult Day Care And Therapeutic Clinic 12601 E Canfield St Detroit MI 48215-2210 Ph: (313) 586-2249 | Dominion Adult Day Care And Therapeutic Clinic 12601 E Canfield St Detroit MI 48215-2210 Ph: (313) 586-2249 |
| NPI Number | 1922401744 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922401744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801020767 (Michigan) | Primary |
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