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SOUTHFIELD, MI
NPI1760134282
Entity TypeOrganization
Authorized ContactCRYSTAL IRELAND
CEO
248-453-6132
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
Enumeration Date2022-01-25
Last Update Date2022-01-25
Business Address
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17051 W 10 MILE RD
SOUTHFIELD, MI 48075-2946
Phone number: 248-453-6132
Mailing Address
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17051 W 10 MILE RD
SOUTHFIELD, MI 48075-2946
Phone number: 248-453-6132