BANYAN SOBER LIVING OF MICHIGAN

YPSILANTI, MI
NPI1245650035
Entity TypeOrganization
Authorized ContactMACKENZIE KOONCE
COO
231-233-8474
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
BANYAN SOBER LIVING OF MICHIGAN
1023 WASHTENAW RD
YPSILANTI, MI 48197-2161
Phone number: 231-233-8474
Mailing Address
BANYAN SOBER LIVING OF MICHIGAN
PO BOX 272
MILFORD, MI 48381-0272
Phone number: 231-233-8474
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