Organization
SELECT CARE MANAGEMENT
Active
Other names
Select Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA M WILSON LMSW, SSW (OWNER)
(248) 206-5787
Entity
Organization
Contact information
Practice address
13854 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1316
(248) 206-5787
Mailing address
13854 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1316
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
—
Enumeration date
03/09/2018
Last updated
03/09/2018
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