| Ctc | |
|
2311 15 Mile Rd Sterling Heights MI 48310-6462 | |
| (586) 983-9280 | |
| (586) 275-0612 |
| Full Name | Ctc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2311 15 Mile Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Haitham A Safo (FOUNDER AND PRESEDENT) |
| Authorized Official Contact | 3132837981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctc 2311 15 Mile Rd Sterling Heights MI 48310-4842 Ph: (586) 983-9280 | Ctc 2311 15 Mile Rd Sterling Heights MI 48310-6462 Ph: (586) 983-9280 |
| NPI Number | 1174866073 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 7214249424 |
|---|---|
| Medicare Enrollment ID | O20150701000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174866073 | NPI | - | NPPES |
| 1124392071 | Other | MI | INDIVIDULE NPI |
| Provider Name | Nagy Rostom Kheir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518900661 PECOS PAC ID: 0244242857 Enrollment ID: I20060626000036 |
| Provider Name | Daniel J Devries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073558029 PECOS PAC ID: 8426130410 Enrollment ID: I20080130000155 |
| Provider Name | Patrick Joseph Laus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346649324 PECOS PAC ID: 0446505564 Enrollment ID: I20180613002595 |
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