| Cdagape | |
|
1098 Ann Arbor Rd W Plymouth MI 48170-2129 | |
| (248) 978-5862 | |
| Not Available |
| Full Name | Cdagape |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1098 Ann Arbor Rd W, Plymouth, Michigan |
| Authorized Official Name and Position | David Ronald Adams (MANAGING MEMBER/ CEO) |
| Authorized Official Contact | 3137159577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdagape 1098 Ann Arbor Rd W Plymouth MI 48170-2129 Ph: (248) 978-5862 | Cdagape 1098 Ann Arbor Rd W Plymouth MI 48170-2129 Ph: (248) 978-5862 |
| NPI Number | 1720562697 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720562697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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