Katie Edwards House LLC

NPI #1659468882 in Detroit, Michigan

Provider Information

NPI Number: 1659468882
Entity Type: Organization
Organization Name: Katie Edwards House LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Oct 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8635 W 7 MILE RD
City: Detroit
State: Michigan
ZIP Code: 48221-2041
Phone: (313) 341-4323

Authorized Official

Name: MS. GAIL C HAIGHT, LBSW
Title: LICENSEE
Phone: (313) 341-4323

Specialties & Taxonomy Codes

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

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