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Organization
COMMUNITY THERAPEUTIC REHAB LLP
Active
Organization
COMMUNITY THERAPEUTIC REHAB LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BRYANT (CEO)
(248) 809-9583
Entity
Organization
Contact information
Practice address
28200 ORCHARD LAKE RD, SUITE 102, FARMINGTON HILLS, MI 48334-3761
(248) 809-9583
Mailing address
28200 ORCHARD LAKE RD, SUITE 102, FARMINGTON HILLS, MI 48334-3761
(248) 809-9583
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2488099593
MI
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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