First Behavioral Choice Llc

NPI 1700141215 - Psychologist - 103T00000X

NPI Details
NPI 1700141215
Enumeration Date 07/10/2012
Last Updated 07/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LYNNETTE LYNNETTE
Position OWNER
Phone (734) 377-9282
Fax
Practice Location
8537 VAN DYKE ST
DETROIT MI, 48213-2374, US
Phone (734) 377-9282
Fax
Business Location
643 HORTON ST
DETROIT MI, 48202-3138, US
Phone (734) 377-9282
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, First Behavioral Choice Llc NPI is 1700141215, taxonomy code is 103T00000X First Behavioral Choice Llc physically located at 8537 Van Dyke St, Detroit MI, 48213-2374. NPI Number 1033115704 has the healthcare provider type.

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1700141215 NPI number is provided on an as is basis without warranty of any kind. 1700141215 is maintained by the National Plan & Provider Enumeration System. The contents of First Behavioral Choice Llc are for informational purposes only.