Organization
C THOMAS ENTERPRISES LLC
Active
Organization
C THOMAS ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL THOMAS LMSW CAADC (OWNER/CEO)
(313) 506-8434
Entity
Organization
Contact information
Practice address
1913 PEMBRIDGE PL, DETROIT, MI 48207-3815
(313) 506-8434
Mailing address
PO BOX 7491, DETROIT, MI 48207-0491
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-02865
MI
1041C0700X
Clinical Social Worker
Primary
6801094273
MI
Other
Enumeration date
03/24/2015
Last updated
10/31/2016
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