Organization
NEUROCOGNITIVE CENTER OF MICHIGAN INC.
Active
Other names
NCOFM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARIM M ALTABBA MBA (DIRECTOR)
(586) 582-0500
Entity
Organization
Contact information
Practice address
28800 RYAN RD, SUITE 320, WARREN, MI 48092-4272
(586) 582-0500
(586) 620-8113
Mailing address
28800 RYAN RD, SUITE 320, WARREN, MI 48092-4272
(586) 582-0500
(586) 620-8113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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