Organization
ACC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN SARAFA LPC (SUPERVISOR)
(589) 939-5016
Entity
Organization
Contact information
Practice address
38219 MOUND RD, SUITE 102, STERLING HEIGHTS, MI 48310
(586) 939-5016
Mailing address
38219 MOUND RD, SUITE 102, STERLING HEIGHTS, MI 48310-3466
(586) 939-5016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301015509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
10/11/2013
Last updated
10/11/2013
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