RENAISSANCE THERAPY CLINIC PLLC

BLOOMFIELD HILLS, MI
NPI1407180284
Entity TypeOrganization
Authorized ContactVLADIMIR ROBERT VANDALOV
Owner
248-990-0140
Organization Subpart ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401005273)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: MI  6301000821)
1041C0700X Social Worker, Clinical
(Licence: MI  6801069906)
Enumeration Date2009-09-25
Last Update Date2010-07-27
Business Address
RENAISSANCE THERAPY CLINIC PLLC
1O WEST SQUARE LAKE RD SUITE 221
BLOOMFIELD HILLS, MI 48302-0466
Phone number: 248-990-0140
Mailing Address
RENAISSANCE THERAPY CLINIC PLLC
1O WEST SQUARE LAKE RD SUITE 101
BLOOMFIELD HILLS, MI 48302-0466
Phone number: 248-990-0140