Organization
SELECTIVE HOME COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GEE LMSW-CSW (PRESIDENT)
(248) 830-0800
Entity
Organization
Contact information
Practice address
24100 SOUTHFIELD RD, SUITE 320, SOUTHFIELD, MI 48075-2819
(248) 327-3864
(248) 552-9614
Mailing address
24100 SOUTHFIELD RD, STE. 320, SOUTHFIELD, MI 48075-2819
(248) 830-0800
(248) 552-9614
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
6801079079
MI
Other
Enumeration date
10/10/2007
Last updated
05/05/2010
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