Organization
ALTERNATIVE ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE CHRISTIAN (PRESIDENT)
(586) 200-5606
Entity
Organization
Contact information
Practice address
23600 HARPER AVE, SUITE 101, SAINT CLAIR SHORES, MI 48080-1445
(586) 200-5606
(586) 200-5608
Mailing address
23600 HARPER AVE, SUITE 101, SAINT CLAIR SHORES, MI 48080-1445
(586) 200-5606
(586) 200-5608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016094
MI
104100000X
Social Worker
6801090472
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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