| Midwest Journeys Llc | |
|
2142a Washtenaw Rd Ypsilanti MI 48197-1708 | |
| (734) 829-0075 | |
| Not Available |
| Full Name | Midwest Journeys Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2142a Washtenaw Rd, Ypsilanti, Michigan |
| Authorized Official Name and Position | Roxanna Duntley-matos (PROGRAM AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 7344740792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Journeys Llc Po Box 3193 Ann Arbor MI 48106-3193 Ph: (734) 829-0075 | Midwest Journeys Llc 2142a Washtenaw Rd Ypsilanti MI 48197-1708 Ph: (734) 829-0075 |
| NPI Number | 1326242827 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326242827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801078742 (Michigan) | Primary |
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