EXEC-U-TECH BEHAVIORAL THERAPY
Agencies at Beechwood St, Detroit, MI

License number
Michigan 6801091303
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MRS. AURELIA LAFAYE KENT LLMSW
Title: EXECUTIVE DIRECTOR
Phone: (313) 475-0283
Address
Address
505 Beechwood St, Detroit, MI 48218
National Provider ID: 1568776086
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EXEC-U-TECH BEHAVIORAL THERAPY, PC

Detroit, MI

Status:
Inactive
Registration:
May 6, 2008
Addresses:
2751 E Jefferson STE 500, Detroit, MI 48207 (Physical)
Michigan (Mailing)
State ID:
01610W
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2011
Agent:
Aurelia L. Kent

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