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Organization
THE BEHAVIORAL CHANGE CLINIC PLLC
Active
Organization
THE BEHAVIORAL CHANGE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC CHRISTOPHER MOCERI PHD (PRESIDENT, CLINICAL PSYCHOLOGIST)
(248) 564-1183
Entity
Organization
Contact information
Practice address
200 E BIG BEAVER RD, TROY, MI 48083-1208
(248) 564-1183
(248) 458-4578
Mailing address
200 E BIG BEAVER RD, TROY, MI 48083-1208
(248) 564-1183
(248) 458-4578
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
07/20/2020
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