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General NPI Number Information
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NPI Number | 1609183110
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Entity Type | Organization
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Legal Business Name | WAYNE COUNTY CHILDREN FAMILY SERVICES
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 640 TEMPLE ST 5TH FLOOR
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City | DETROIT
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State | MI
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Zip | 48201-2599
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Country | US
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Telephone | 313-833-4605
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Fax | 313-833-3222
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Provider Business Mailing Address
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Address Line | 640 TEMPLE ST 5TH FLOOR
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City | DETROIT
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State | MI
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Zip | 48201-2599
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Country | US
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Telephone | 313-833-4605
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Fax | 313-833-3222
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Authorized Official
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Title or Position | DIRECTOR OF ADULT SERVICES
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Name | MS. DEBORAH HENDRIX
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Credential |
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Telephone | 313-833-4605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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