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General NPI Number Information
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NPI Number | 1437515061
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Entity Type | Organization
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Legal Business Name | Y-PCS GROUP, INC
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD RD STE 238
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3767
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Country | US
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Telephone | 313-412-1318
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Fax | 248-809-6232
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Provider Business Mailing Address
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Address Line | 8499 WAHRMAN ST
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City | ROMULUS
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State | MI
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Zip | 48174-4161
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Country | US
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Telephone | 313-412-1318
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Fax | 248-809-6232
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. WENDER DEAN TRIGGS
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Credential |
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Telephone | 313-412-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | L760342
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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