Centria Health Care

NPI #1093105900 in Harper Woods, Michigan

Provider Information

NPI Number: 1093105900
Entity Type: Organization
Organization Name: Centria Health Care
Primary Specialty: Technician, Other
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 19104 ELKHART ST
Address 2: 19104 ELKHART
City: Harper Woods
State: Michigan
ZIP Code: 48225-2108
Phone: (313) 685-8733

Authorized Official

Name: CASSANDRA LAYVETTE RODGERS
Title: ABA
Phone: (313) 685-8733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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