Healthcare Provider Details

I. General information

NPI: 1669478921
Provider Name (Legal Business Name): PERSONAL & FAMILY ADJUSTMENT CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N OLD WOODWARD AVE STE 300
BIRMINGHAM MI
48009-1338
US

IV. Provider business mailing address

700 N OLD WOODWARD AVE STE 300
BIRMINGHAM MI
48009-1338
US

V. Phone/Fax

Practice location:
  • Phone: 248-642-8263
  • Fax: 248-642-3862
Mailing address:
  • Phone: 248-642-8263
  • Fax: 248-642-3862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ALDONA M VALVIVONIS
Title or Position: PRESIDENT
Credential: PH. D.
Phone: 248-642-8263