Organization
INTERVENTIVE BEHAVIORAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LOVELL TUCKER MSW, MA (DIRECTOR)
(313) 720-6702
Entity
Organization
Contact information
Practice address
35551 FORD RD, SUITE 101, WESTLAND, MI 48185-3113
(313) 720-6702
(313) 846-1975
Mailing address
35551 FORD RD, SUITE 101, WESTLAND, MI 48185-3113
(313) 720-6702
(313) 846-1975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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