| Goedert Therapeutic Services, Llc | |
|
415 S West St Suite 150 Royal Oak MI 48067-2521 | |
| (313) 850-0469 | |
| Not Available |
| Full Name | Goedert Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 415 S West St, Royal Oak, Michigan |
| Authorized Official Name and Position | Mead Goedert (CLINICAL THERAPIST) |
| Authorized Official Contact | 3138500469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goedert Therapeutic Services, Llc 415 S West St Suite 150 Royal Oak MI 48067-2521 Ph: (313) 850-0469 | Goedert Therapeutic Services, Llc 415 S West St Suite 150 Royal Oak MI 48067-2521 Ph: (313) 850-0469 |
| NPI Number | 1780944967 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780944967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801089319 (Michigan) | Primary |
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