Organization
RECOVERY CONSULTANTS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY LYNN SMALLER (CEO)
(248) 543-1090
Entity
Organization
Contact information
Practice address
2710 12 MILE RD, BERKLEY, MI 48072
(248) 543-1090
(248) 543-0017
Mailing address
2710 12 MILE RD, BERKLEY, MI 48072-1630
(248) 543-1090
(248) 543-0017
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SA0631165
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
631165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705289
—
MI
01
—
20492
BLUE CROSS BLUE SHIELD OF
MI
01
—
321593
VALUE OPTIONS
MI
01
—
5671705
AETNA
MI
01
—
630418
HAP
MI
01
—
9664716
CIGNA
MI
Enumeration date
11/30/2006
Last updated
05/21/2018
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