Organization
INSIDE OUT RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLY R THOMPSON SR. PHD (OWNER)
(313) 874-8702
Entity
Organization
Contact information
Practice address
25418 PARSONS DR, SOUTHFIELD, MI 48075-1757
(313) 874-8702
Mailing address
25418 PARSONS DR, SOUTHFIELD, MI 48075-1757
(313) 874-8702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012987
MI
Other
Enumeration date
07/15/2016
Last updated
07/25/2016
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