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GENERATIONAL COMMUNITY CENTER LLC 1255001087

Overview
Name: GENERATIONAL COMMUNITY CENTER LLC Specialty: Counselor Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: . Definition of Specialty: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: GENERATIONAL COMMUNITY CENTER LLC,15510 THATCHER ST,DETROIT,MI,482353122,US Mailing Address: GENERATIONAL COMMUNITY CENTER LLC,15510 THATCHER ST,DETROIT,MI,482353122,US
Contact #
Practice location phone #: 3136567105 Practice location fax #: Mailing address Phone #: 3136567105 Mailing Address fax #: Authorized official Name/Telephone #:MS., SANDRA, VINSON, ADMINSTRATOR 3136567105
Misc
Date NPI was obtained: 09/14/2021 Last data data was updated: 09/14/2021 Insurances:
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