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Organization

DIFFERENT SPECTRUMS CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAZEER TOUFIC ZERKA II (COO)
(248) 821-2659
Entity
Organization

Contact information

Practice address
4101 COPPER VALLEY DR, LAFAYETTE, IN 47909-8059
(248) 821-2659
Mailing address
4101 COPPER VALLEY DR, LAFAYETTE, IN 47909-8059
(248) 821-2659

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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