Alliance Behavioral Care LLC
Social Worker, Clinical in Ypsilanti, MI. Organization (NPI-2).
NPI number1275178402
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1275178402
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Behavioral Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2019
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
8752 Lilly DrYpsilanti, MI 48197-9655
Phone 734-635-3499
Mailing address
8752 Lilly DrYpsilanti, MI 48197-9655
Phone 734-635-3499
Authorized official
Latasha Marie Shannon
Ceo
7346353499
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