| Cb Supports Of Michigan Llc | |
|
24730 Harding St Oak Park MI 48237-1549 | |
| (718) 633-4411 | |
| Not Available |
| Full Name | Cb Supports Of Michigan Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24730 Harding St, Oak Park, Michigan |
| Authorized Official Name and Position | Israel Benedek (CEO) |
| Authorized Official Contact | 7183366073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cb Supports Of Michigan Llc 6214 24th Ave Brooklyn NY 11204-3319 Ph: (718) 336-6073 | Cb Supports Of Michigan Llc 24730 Harding St Oak Park MI 48237-1549 Ph: (718) 633-4411 |
| NPI Number | 1295359644 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295359644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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