Healthcare Provider Details

I. General information

NPI: 1154661023
Provider Name (Legal Business Name): TRAINING AND TREATMENT INNOVATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E MICHIGAN AVE SUITE 219
JACKSON MI
49202-3700
US

IV. Provider business mailing address

1450 S LAPEER RD
OXFORD MI
48371
US

V. Phone/Fax

Practice location:
  • Phone: 517-782-0010
  • Fax: 517-782-9695
Mailing address:
  • Phone: 248-969-9932
  • Fax: 248-969-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JACQULINE KISS WILSON
Title or Position: DIRECTOR
Credential:
Phone: 248-969-9932