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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