| Complex Dynamics Integrated Health | |
|
13502 Lenore Redford MI 48239-2611 | |
| (989) 397-2256 | |
| Not Available |
| Full Name | Complex Dynamics Integrated Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13502 Lenore, Redford, Michigan |
| Authorized Official Name and Position | Elizabeth Wathen (OWNER) |
| Authorized Official Contact | 9893972256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complex Dynamics Integrated Health 13502 Lenore Redford MI 48239-2611 Ph: () - | Complex Dynamics Integrated Health 13502 Lenore Redford MI 48239-2611 Ph: (989) 397-2256 |
| NPI Number | 1922763994 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922763994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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