Organization
CENTRAL THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K G THIMOTHEOSE PHD (LICENSED PSYCHOLOGIST/PRESIDENT/CEO)
(248) 559-4340
Entity
Organization
Contact information
Practice address
17600 W 8 MILE RD, SUITE #7, SOUTHFIELD, MI 48075-4305
(248) 559-4340
(248) 559-1451
Mailing address
17600 W 8 MILE RD, SUITE #7, SOUTHFIELD, MI 48075-4305
(248) 559-4340
(248) 559-1451
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028375
VALUE OPTIONS
MI
Enumeration date
11/08/2005
Last updated
08/22/2020
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