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Organization

COGNITIVE CARE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUVARIA JAVAID (MSLLP)
(248) 330-7281
Entity
Organization

Contact information

Practice address
43155 MAIN ST, ATRIUM 2300 SUITE O, NOVI, MI 48375-1777
(248) 330-7281
Mailing address
43155 MAIN ST, ATRIUM 2300 SUITE O, NOVI, MI 48375-1777

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013794
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6301013794
MI
Enumeration date
03/19/2015
Last updated
03/19/2015
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