Organization
PRESTIGE BEHAVIORAL THERAPY DEVELOPMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DUPREE (OWNER/CEO)
(313) 492-6007
Entity
Organization
Contact information
Practice address
28249 BELL RD, SOUTHFIELD, MI 48034
(313) 492-6007
(866) 496-9908
Mailing address
28249 BELL RD, SOUTHFIELD, MI 48034-5141
(313) 492-6007
(866) 496-9908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
09/29/2014
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