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NPI Code Detail

MEDICARE: ROOM TO TALK

MEDICARE: ROOM TO TALK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency6801080546MI

General Provider Information

NPI Number : 1053724138
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROOM TO TALK
Provider Business Mailing Address
First Line : 4158 SKYLINE CT
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9723
Country : US
Telephone Number : 734-546-4811
Fax Number :
Provider Business Practice Location Address
First Line : 510 S MAPLE RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-3837
Country : US
Telephone Number : 734-546-4811
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MAUREEN E. LEAVITT
Credential : MSW
Telephone Number : 734-546-4811
Provider Enumeration Date : 06/06/2014
Last Update Date : 06/06/2014

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Directions to “ROOM TO TALK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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