Organization
DAVID P. STANISLAW, JR., M.S.W., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P. STANISLAW M.S.W. (PRESIDENT)
(248) 645-2777
Entity
Organization
Contact information
Practice address
191 N OLD WOODWARD AVE, BIRMINGHAM, MI 48009-3350
(248) 645-2777
Mailing address
191 N OLD WOODWARD AVE, BIRMINGHAM, MI 48009-3350
(248) 645-2777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801000270
MI
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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