ILLENE RITA BOSLEY

HIGHLAND PARK, MI
NPI1225156177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  104259)
Enumeration Date2007-03-27
Last Update Date2007-07-09
Business Address
Mrs. ILLENE RITA BOSLEY MS, CAC-I
13220 WOODWARD AVE
HIGHLAND PARK, MI 48203-3610
Phone number: 313-868-1946
Mailing Address
Mrs. ILLENE RITA BOSLEY MS, CAC-I
150 STIMSON ST
DETROIT, MI 48201-2410
Phone number: 313-993-4700