Organization
JARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA STEWART LMSW (CHIEF OPERATING OFFICER)
(248) 488-7537
Entity
Organization
Contact information
Practice address
31755 RIDGESIDE DR, APT. 2, FARMINGTON HILLS, MI 48334-1276
(248) 538-6611
Mailing address
30301 NORTHWESTERN HWY, SUITE 100, FARMINGTON HILLS, MI 48334-3214
(248) 538-6611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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