Miller & Moss Afc

NPI #1225511157 in Inkster, Michigan

Provider Information

NPI Number: 1225511157
Entity Type: Organization
Organization Name: Miller & Moss Afc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 3638 IRENE ST
City: Inkster
State: Michigan
ZIP Code: 48141-2127
Phone: (734) 405-0846

Authorized Official

Name: CHARISE MUHAMMAD
Title: VICE PRESIDENT
Phone: (313) 758-8075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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