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1205304359
LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN
DETROIT, MI
NPI
1205304359
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Entity Type
Organization
Authorized Contact
KEN KEENE
Director
313-531-0111
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN
17667 PIERSON ST
DETROIT, MI 48219-2520
Phone number: 313-531-0111
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Mailing Address
LIFE CHALLENGE OF SOUTHEASTERN MICHIGAN
17667 PIERSON ST
DETROIT, MI 48219-2520
Phone number: 313-531-0111
Copy
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