| A Restored Outlook LLC | |
|
8287 Linda St Warren MI 48093-2838 | |
| (313) 918-8304 | |
| Not Available |
| Full Name | A Restored Outlook LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8287 Linda St, Warren, Michigan |
| Authorized Official Name and Position | Michael J Dubose (CEO) |
| Authorized Official Contact | 5863440748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Restored Outlook LLC 8287 Linda St Warren MI 48093-2838 Ph: (586) 344-0748 | A Restored Outlook LLC 8287 Linda St Warren MI 48093-2838 Ph: (313) 918-8304 |
| NPI Number | 1124663935 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124663935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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