| Cope Personal Development Center | |
|
26711 Woodward Ave Ste Ll2 Huntington Woods MI 48070-1370 | |
| (855) 948-1661 | |
| (888) 318-6010 |
| Full Name | Cope Personal Development Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 26711 Woodward Ave Ste Ll2, Huntington Woods, Michigan |
| Authorized Official Name and Position | Tina Larayne Parkman (PRESIDENT) |
| Authorized Official Contact | 2489915779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Personal Development Center 30016 Hanover Blvd Westland MI 48186-5125 Ph: (248) 991-5779 | Cope Personal Development Center 26711 Woodward Ave Ste Ll2 Huntington Woods MI 48070-1370 Ph: (855) 948-1661 |
| NPI Number | 1679083372 |
|---|---|
| Provider Enumeration Date | 10/07/2017 |
| Last Update Date | 10/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679083372 | NPI | - | NPPES |
| 1548462591 | Medicaid | MI | |
| 1184926446 | Medicaid | MI | |
| 1477876019 | Medicaid | MI | |
| 1851752596 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401003666 (Michigan) | Primary |
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