TIMOTHY ROBERT SMITH

DETROIT, MI
NPI1689781775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  0834)
Enumeration Date2006-08-24
Last Update Date2011-06-15
Business Address
-- TIMOTHY ROBERT SMITH CADAC
4646 JOHN R ST MENTAL HEALTH SERVICES (11MH-PS)
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
-- TIMOTHY ROBERT SMITH CADAC
4110 ALLEGHENY DR
TROY, MI 48085-3642
Phone number: 313-576-1000
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