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General NPI Number Information
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NPI Number | 1801249222
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Entity Type | Organization
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Legal Business Name | CM ORG
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 7621 PARKLAND
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City | DETROIT
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State | MI
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Zip | 48239-1031
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Country | US
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Telephone | 248-636-5758
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Fax |
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Provider Business Mailing Address
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Address Line | 7621 PARKLAND
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City | DETROIT
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State | MI
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Zip | 48239-1031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TUAN WILLIAMS
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Credential |
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Telephone | 248-636-5758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | 1801249222
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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