Organization
TOTAL COMPREHENSIVE BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS TUCKER-LLOYD SR. LPC, LMSW (THERAPIST)
(313) 579-9900
Entity
Organization
Contact information
Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 579-9900
Mailing address
5555 CONNER ST, DETROIT, MI 48213-3448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401010783
MI
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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