Organization
OPEN MIND THERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULAN MARIE GREEN LMSW (PRESIDENT)
(734) 646-8765
Entity
Organization
Contact information
Practice address
2002 HOGBACK RD STE 15, ANN ARBOR, MI 48105-9736
(734) 646-8765
Mailing address
266O CHATEAU COURT, ANN ARBOR, MI 48103
(734) 646-8765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
681087295
MI
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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