Organization
SENIOR SAFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA FORTON LMSW (OWNER)
(586) 321-3029
Entity
Organization
Contact information
Practice address
25594 CORTEZ ST, HARRISON TOWNSHIP, MI 48045-2028
(586) 321-3029
Mailing address
25594 CORTEZ ST, HARRISON TOWNSHIP, MI 48045-2028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801082238
MI
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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