| Caldwell Thompson Manor International | |
|
8537 Van Dyke St Detroit MI 48213-2374 | |
| (313) 924-9478 | |
| (313) 924-9494 |
| Full Name | Caldwell Thompson Manor International |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8537 Van Dyke St, Detroit, Michigan |
| Authorized Official Name and Position | Patricia Gibbs (MANAGER) |
| Authorized Official Contact | 3139249478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Thompson Manor International 23636 Cunningham Ave Warren MI 48091-3181 Ph: (313) 924-9478 | Caldwell Thompson Manor International 8537 Van Dyke St Detroit MI 48213-2374 Ph: (313) 924-9478 |
| NPI Number | 1235363698 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235363698 | NPI | - | NPPES |
| 8008950700 | Other | BLUE CROSS BLUE SHIELD | |
| 1225253461 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801061937 (Michigan) | Primary |
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