Organization
RENAISSANCE REHABILITATION & COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE SWANSON (PRESIDENT)
(313) 522-9707
Entity
Organization
Contact information
Practice address
1250 MIDDLEBELT RD, INKSTER, MI 48141-1628
(313) 522-9707
Mailing address
1250 MIDDLEBELT RD, INKSTER, MI 48141-1628
(313) 522-9707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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