Organization
TESTING AND TREATMENT SERVICES OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN HOBERMAN MSW, CSW (LEAD THERAPIST/ OWNER)
(248) 561-0003
Entity
Organization
Contact information
Practice address
1800 GRINDLEY PARK ST, SUITE 1, DEARBORN, MI 48124-2553
(313) 277-1166
Mailing address
1800 GRINDLEY PARK ST, SUITE 1, DEARBORN, MI 48124-2553
(313) 277-1166
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
68010111116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497812523
—
MI
Enumeration date
09/20/2011
Last updated
09/20/2011
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