| M. Boone & Associates | |
|
1139 Brookline St Canton MI 48187-3233 | |
| (313) 682-7186 | |
| (734) 981-1040 |
| Full Name | M. Boone & Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1139 Brookline St, Canton, Michigan |
| Authorized Official Name and Position | Moses Levelle Boone (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3136827186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Boone & Associates 1139 Brookline St Canton MI 48187-3233 Ph: (313) 682-7186 | M. Boone & Associates 1139 Brookline St Canton MI 48187-3233 Ph: (313) 682-7186 |
| NPI Number | 1942470240 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942470240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801016250 (Michigan) | Primary |
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