Organization
INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING
Active
Other names
CHR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E GAMBLE PH.D. (CLINICAL DIRECTOR)
(810) 985-5168
Entity
Organization
Contact information
Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5168
(810) 985-9011
Mailing address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5168
(810) 985-9011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010728
MI
Other
Enumeration date
02/21/2008
Last updated
06/27/2008
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