Organization
TESTING AND TREATMENT SERVICES OF MICHIGAN
Active
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
Update your record
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