NPI 1780015420

Community Therapeutic Rehab LLP

Organisation Preferred Provider Organization Farmington Hills, MI

Practice location

Address: 28200 Orchard Lake Rd Suite 102, Farmington Hills, MI 48334-3761
Phone: (248) 809-9583

Authorised official

Name: Richard Bryant
Title: Ceo
Phone: (248) 809-9583

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2488099593 (MI)

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Registry record

NPI: 1780015420
Entity type: Organization
NPI issued: 5 Dec 2013
Record last updated: 5 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.