Organization
CNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA RAINGE (CFO)
(248) 745-4900
Entity
Organization
Contact information
Practice address
38855 HILLS TECH DR STE 200, FARMINGTON HILLS, MI 48331-3428
(248) 745-4900
Mailing address
38855 HILLS TECH DR STE 200, FARMINGTON HILLS, MI 48331-3428
(248) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4704251238
MI
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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