| Out Of Ashes Llc | |
|
135 N Riverbank St Wyandotte MI 48192-2707 | |
| (810) 394-1598 | |
| Not Available |
| Full Name | Out Of Ashes Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 135 N Riverbank St, Wyandotte, Michigan |
| Authorized Official Name and Position | Steven James Kalbfleisch (SELF) |
| Authorized Official Contact | 8103941598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of Ashes Llc 2118 Van Antwerp St Grosse Pointe Woods MI 48236-1625 Ph: (810) 394-1598 | Out Of Ashes Llc 135 N Riverbank St Wyandotte MI 48192-2707 Ph: (810) 394-1598 |
| NPI Number | 1174028823 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174028823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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