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Organization
COPE PERSONAL DEVELOPMENT CENTER
Active
Organization
COPE PERSONAL DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LARAYNE PARKMAN PH.D (PRESIDENT)
(248) 991-5779
Entity
Organization
Contact information
Practice address
26711 WOODWARD AVE STE LL2, HUNTINGTON WOODS, MI 48070-1370
(855) 948-1661
(888) 318-6010
Mailing address
30016 HANOVER BLVD, WESTLAND, MI 48186-5125
(248) 991-5779
(888) 318-6010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401003666
MI
Other
Enumeration date
10/07/2017
Last updated
10/09/2018
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