Organization
SAVANNAH SPECIALIZED ROOM & BOARD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEE LYNN BATES MBA (ADMINISTRATOR)
(313) 731-7166
Entity
Organization
Contact information
Practice address
169 CORTLAND ST, HIGHLAND PARK, MI 48203
(313) 731-7166
(313) 868-2282
Mailing address
169 CORTLAND ST, HIGHLAND PARK, MI 48203
(313) 731-7166
(313) 868-2282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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