Organization
ALLIANCE BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATASHA MARIE SHANNON LMSW, CAADC (CEO)
(734) 635-3499
Entity
Organization
Contact information
Practice address
8752 LILLY DR, YPSILANTI, MI 48197-9655
(734) 635-3499
Mailing address
8752 LILLY DR, YPSILANTI, MI 48197-9655
(734) 635-3499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
03/06/2020
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