Provider Demographics
NPI:1053595793
Name:ANN ARBOR CONSULTATION SERVICES INC
Entity type:Organization
Organization Name:ANN ARBOR CONSULTATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-996-9111
Mailing Address - Street 1:5331 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9520
Mailing Address - Country:US
Mailing Address - Phone:734-996-9111
Mailing Address - Fax:734-996-1950
Practice Address - Street 1:5331 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9520
Practice Address - Country:US
Practice Address - Phone:734-996-9111
Practice Address - Fax:734-996-1950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANN ARBOR CONSULTATION SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health