Organization · NPI-2

Alternative Adult Day Care LLC

Psychologist · Saint Clair Shores, MI

NPI number1699135103

StatusActive

Last updated in NPPESFeb 25, 2016

Details

NPI: 1699135103
Entity type: Organization (NPI-2)
Legal business name: Alternative Adult Day Care LLC
Organization subpart: No
Enumeration date: Feb 25, 2016
Last updated: Feb 25, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103T00000X	Psychologist	6301016094	MI	Yes
104100000X	Social Worker	6801090472	MI
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–

Practice location

23600 Harper Ave
Suite 101
Saint Clair Shores, MI 48080-1445

Phone 586-200-5606 · Fax 586-200-5608

Mailing address

23600 Harper Ave
Suite 101
Saint Clair Shores, MI 48080-1445

Phone 586-200-5606 · Fax 586-200-5608

Authorized official

Bobbie Christian
President
5862005606

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