Organization
ANNE KRCATOVICH, MA, LLP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE THERESE KRCATOVICH MA, LLP (OWNER)
(734) 578-1605
Entity
Organization
Contact information
Practice address
164 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 578-1605
(734) 453-3310
Mailing address
164 N MAIN ST, PLYMOUTH, MI 48170-1236
(734) 578-1605
(734) 453-3310
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301016045
MI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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