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General NPI Number Information
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NPI Number | 1902393598
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Entity Type | Organization
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Legal Business Name | BAYS TREATMENT & EVALUATION SOLUTIONS
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 16000 W 9 MILE RD STE 303B
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4835
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Country | US
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Telephone | 248-690-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 1533 CROOKS RD
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City | ROYAL OAK
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State | MI
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Zip | 48067-1304
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Country | US
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Telephone | 313-404-1195
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. JANE KENNEDY BAYS
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Credential | LMSW
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Telephone | 313-404-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6801095847
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801095847
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License Number State | MI
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