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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA WHITE

Active Sole Proprietor

BRENDA WHITE is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WARREN, Michigan. NPI 1295258010 is currently active in the NPPES registry. Verify at CMS.

Emotionally Disturbed Children Residential Treatment · WARREN, MI

Registration Details

NPI Number
1295258010
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2017 (9.1027269346424 yrs)
Last Updated
Jul 24, 2017
License
AF500286756 (MI)
Sole Proprietor
Yes

Practice Information

Address
21180 GENTNER ST
WARREN, MI, 480893437
Browse MI providers · Browse ZIP 48089
Phone
5867749559
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.