Organization
CARE AND TRANSFORMATION CENTER
Active
Other names
CTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAITHAM A SAFO LPC (FOUNDER AND PRESEDENT)
(313) 283-7981
Entity
Organization
Contact information
Practice address
2311 15 MILE RD, STERLING HEIGHTS, MI 48310-6462
(586) 983-9280
(586) 275-0612
Mailing address
2311 15 MILE RD, STERLING HEIGHTS, MI 48310-4842
(586) 983-9280
(586) 275-0612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6401009738
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6401009738
MI
261QM0850X
Adult Mental Health Clinic/Center
6401009738
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6401009738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124392071
INDIVIDULE NPI
MI
Enumeration date
03/29/2013
Last updated
07/21/2016
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