| Strong Youth Initiative Michigan Llc | |
|
2550 W Grand Blvd Suite 106 Detroit MI 48208-1239 | |
| (678) 362-9955 | |
| (866) 379-8708 |
| Full Name | Strong Youth Initiative Michigan Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2550 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Robert Ashford (CEO) |
| Authorized Official Contact | 8042671899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Youth Initiative Michigan Llc 2550 W Grand Blvd Suite 106 Detroit MI 48208-1239 Ph: (678) 362-9955 | Strong Youth Initiative Michigan Llc 2550 W Grand Blvd Suite 106 Detroit MI 48208-1239 Ph: (678) 362-9955 |
| NPI Number | 1669614061 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 03/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669614061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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