Organization
A RESTORED OUTLOOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J DUBOSE LLMSW (CEO)
(586) 344-0748
Entity
Organization
Contact information
Practice address
8287 LINDA ST, WARREN, MI 48093-2838
(313) 918-8304
Mailing address
8287 LINDA ST, WARREN, MI 48093-2838
(586) 344-0748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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