| C Thomas Enterprises Llc | |
|
1913 Pembridge Pl Detroit MI 48207-3815 | |
| (313) 506-8434 | |
| Not Available |
| Full Name | C Thomas Enterprises Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1913 Pembridge Pl, Detroit, Michigan |
| Authorized Official Name and Position | Crystal Thomas (OWNER/CEO) |
| Authorized Official Contact | 3135068434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Thomas Enterprises Llc Po Box 7491 Detroit MI 48207-0491 Ph: () - | C Thomas Enterprises Llc 1913 Pembridge Pl Detroit MI 48207-3815 Ph: (313) 506-8434 |
| NPI Number | 1578957858 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578957858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-02865 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801094273 (Michigan) | Primary |
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