| Blaq Therapy | |
|
24073 Crescent St Mattawan MI 49071-8457 | |
| (734) 802-7667 | |
| Not Available |
| Full Name | Blaq Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 24073 Crescent St, Mattawan, Michigan |
| Authorized Official Name and Position | Anter Abdallah (CREDENTIALER) |
| Authorized Official Contact | 7348027667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaq Therapy Po Box 714 Mattawan MI 49071-0714 Ph: () - | Blaq Therapy 24073 Crescent St Mattawan MI 49071-8457 Ph: (734) 802-7667 |
| NPI Number | 1609646256 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609646256 | NPI | - | NPPES |
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