Organization
COMPREHENSIVE COUNSELING CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR V LINGNURKAR MD MD (PRESIDENT/OWNER)
(586) 558-6000
Entity
Organization
Contact information
Practice address
11885 E 12 MILE RD, STE. 201A, WARREN, MI 48093-3474
(586) 558-6000
(586) 558-6679
Mailing address
11885 E 12 MILE RD, STE. 201A, WARREN, MI 48093-3474
(586) 558-6000
(586) 558-6679
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0000000000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338940
BLUE CARE NETWORK ID
MI
01
—
750910346
BLUE CROSS/BLUE SHIELD ID
MI
Enumeration date
06/21/2005
Last updated
01/05/2012
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