Most Relevant Information
Provider Data
| NPI Number: | 1003664020 |
| Provider Name: | YANNICK MUGENZI |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2024 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
24350 JOY RD STE 8
REDFORD
MI
482391265
Practice Location Phone/Fax
| Phone: | 3139483000 |
| Fax: |
Provider Mailing Location
24350 JOY RD STE 8
REDFORD
MI
482391265
Provider Mailing Phone/Fax
| Phone: | 3139483000 |
| Fax: |