Organization
BCS OF MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A CLEMENTE ESQ. (DIRECTOR)
(248) 894-0668
Entity
Organization
Contact information
Practice address
39465 W 14 MILE RD, NOVI, MI 48377
(248) 859-3900
(888) 483-0118
Mailing address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(248) 859-3900
(866) 227-7418
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/27/2015
Last updated
08/22/2018
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