Organization
COMMON GROUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW THOMAS ZIMMER LMSW (COMMUNITY ACCESS AND LIAISON MANAGE)
(248) 918-9649
Entity
Organization
Contact information
Practice address
461 HURON, STE. 100-SEMINOLE, PONTIAC, MI 48149
(248) 918-9649
Mailing address
1410 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0046
(248) 918-9649
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801088896
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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