Altus Home Counseling And Behavioral Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Detroit, MI. Organization (NPI-2).
NPI number1477128676
StatusActive
Last updated in NPPESAug 31, 2023
Details
- NPI
- 1477128676
- Entity type
- Organization (NPI-2)
- Legal business name
- Altus Home Counseling And Behavioral Services LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2021
- Certification date
- Aug 31, 2023
- Last updated
- Aug 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
2785 E Grand Blvd Ste 536Detroit, MI 48211-2003
Phone 586-359-5269
Mailing address
2785 E Grand Blvd Ste 536Detroit, MI 48211-2003
Authorized official
Chanel Johnson
Ceo
5863595269
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