Provider Demographics
NPI:1932557717
Name:CARE AND TRANSFORMATION CENTER
Entity type:Organization
Organization Name:CARE AND TRANSFORMATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:DR
Authorized Official - First Name:HAITHEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-983-9280
Mailing Address - Street 1:2311 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4842
Mailing Address - Country:US
Mailing Address - Phone:586-983-9280
Mailing Address - Fax:
Practice Address - Street 1:2311 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4842
Practice Address - Country:US
Practice Address - Phone:586-983-9280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness