Teri Laurie Colvin

NPI #1295373504 in Detroit, Michigan

Provider Information

NPI Number: 1295373504
Entity Type: Individual
Name: Teri Laurie Colvin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 17, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 1852 W GRAND BLVD
City: Detroit
State: Michigan
ZIP Code: 48208-1006
Phone: (313) 894-8444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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