Y.a.d.

NPI 1316244965 - Clinic/Center - 261QR0405X

NPI Details
NPI 1316244965
Enumeration Date 02/17/2011
Last Updated 02/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BLANCHE RENEE BLANCHE
Position EXECUTIVE DIRECTOR
Phone (313) 729-4547
Fax (313) 821-8683
Practice Location
18425 HICKORY ST
DETROIT MI, 48205-2707, US
Phone (313) 729-4547
Fax (313) 821-8683
Business Location
PO BOX 13185
DETROIT MI, 48213-0185, US
Phone (313) 729-4547
Fax (313) 821-8683
Toxanomy
Taxonomy Code 261QR0405X
License State Michigan
License Number 261QR0405X
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According to our database, Y.a.d. NPI is 1316244965, taxonomy code is 261QR0405X and license number is 261QR0405X, license state is located at Michigan. Y.a.d. physically located at 18425 Hickory St, Detroit MI, 48205-2707. NPI Number 1033115704 has the healthcare provider type.

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1316244965 NPI number is provided on an as is basis without warranty of any kind. 1316244965 is maintained by the National Plan & Provider Enumeration System. The contents of Y.a.d. are for informational purposes only.