institution
The Great Divine Center Llc
Multi-Specialty Clinic/Center in Detroit, Michigan
NPI 1902558091

The Great Divine Center Llc is a Multi-Specialty Clinic/Center based in Detroit, MI and is specialized in Multi-Specialty. The Great Divine Center Llc practices in Detroit, MI. The NPI Number for The Great Divine Center Llc is 1902558091 and holds a License No. (Michigan).

The current practice location address for The Great Divine Center Llc is 17169 E Warren Ave, Detroit, MI and can be reached out via phone at 313-480-4766.

Location: 17169 E Warren Ave, Detroit, MI, 48224-2279
institution
Provider Profile Details
NPI Number
1902558091
Provider Name
The Great Divine Center Llc
Credential
Provider Entity Type
Organization
Address
17169 E Warren Ave, Detroit, MI, 48224-2279
Phone Number
313-480-4766
Fax Number
Provider Enumeration Date
01/20/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17169 E Warren Ave
City
State
Zip
48224-2279
Phone Number
313-480-4766
Fax Number
person
Provider Business Mailing Address Details
Address
17169 E Warren Ave
City
State
Zip
48224-2279
Phone Number
313-480-4766
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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