Organization
TBI RESIDENTIAL REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NINA LANG (SOLE MEMBER)
(248) 361-1389
Entity
Organization
Contact information
Practice address
63 WALTONSHIRE CT, ROCHESTER HILLS, MI 48309-1100
(248) 732-7807
(248) 732-7352
Mailing address
3834 WABEEK LAKE DR E, BLOOMFIELD HILLS, MI 48302-1258
(248) 361-1389
(248) 355-5801
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
09/02/2021
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