| Multidimensions Care Management | |
|
17555 James Couzens Fwy 2 West Detroit MI 48235-2657 | |
| (313) 864-2987 | |
| (313) 864-2142 |
| Full Name | Multidimensions Care Management |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17555 James Couzens Fwy, Detroit, Michigan |
| Authorized Official Name and Position | Larry Willis Colston (CEO) |
| Authorized Official Contact | 3138642987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multidimensions Care Management 17555 James Couzens Fwy 2-west Detroit MI 48235-2657 Ph: (313) 864-2987 | Multidimensions Care Management 17555 James Couzens Fwy 2 West Detroit MI 48235-2657 Ph: (313) 864-2987 |
| NPI Number | 1124196415 |
|---|---|
| Provider Enumeration Date | 12/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124196415 | NPI | - | NPPES |
| 096642 | Other | MI | VALUE OPTIONS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801034096 (Michigan) | Primary |
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