MEDICARE: CARE & TRANSFORMATIONAL CENTER

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
1	251S00000X	Community/Behavioral Health Agency	6401009773	MI

General Provider Information

NPI Number	:	1316323272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE & TRANSFORMATIONAL CENTER

Provider Business Mailing Address
First Line	:	34514 DEQUINDRE RD
Second Line	:	SUITE A1
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5232
Country	:	US
Telephone Number	:	586-983-9280
Fax Number	:	586-275-0612

Provider Business Practice Location Address
First Line	:	34514 DEQUINDRE RD
Second Line	:	SUITE A1
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5232
Country	:	US
Telephone Number	:	586-983-9280
Fax Number	:	586-275-0612

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. DENISE MOSBY-LEWIS
Credential	:	LLPC
Telephone Number	:	586-983-9280

Provider Enumeration Date	:	08/03/2015
Last Update Date	:	08/07/2015

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Directions to “CARE & TRANSFORMATIONAL CENTER ” Practice Location

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