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24333 Southfield Rd Ste 202 Southfield MI 48075-2849 | |
| (855) 688-9998 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24333 Southfield Rd Ste 202, Southfield, Michigan |
| Authorized Official Name and Position | Ashiki Ajamu (DIRECTOR) |
| Authorized Official Contact | 2489747417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4236 Lois St Dearborn MI 48126-3636 Ph: (248) 974-7417 | 24333 Southfield Rd Ste 202 Southfield MI 48075-2849 Ph: (855) 688-9998 |
| NPI Number | 1144981457 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144981457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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