Organization
EDM TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHIA CLARK LMSW (OWNER)
(989) 401-1440
Entity
Organization
Contact information
Practice address
3605 DAVENPORT AVE, STE 205, SAGINAW, MI 48602-3310
(989) 401-1440
(866) 466-7892
Mailing address
3605 DAVENPORT AVE, STE. 205, SAGINAW, MI 48602-3310
(989) 401-1440
(866) 466-7892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
11/07/2016
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