Organization Name: | DBT CENTER OF MICHIGAN, LLC |
NPI Number: | 1710114707 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSH M. SMITH (CO-OWNER/FOUNDER) |
Mailing Address: | 4205 Charlar Dr Suite 3 Holt |
State: | MI US |
Postal Code: | 488426810 |
Phone Number: | 5172147964 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2009 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |