Mctaw, Vickie

Mctaw, Vickie is an sole proprietor health care provider with primary practice located at 2409 Calvert St , Detroit MI 48206-1533. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Mctaw, Vickie can be contacted via phone (313) 869-6905.

Contact Information

Primary practice address
2409 Calvert St Detroit MI 48206-1533
Phone: (313) 869-6905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Michigan

Profile Details

NPI number 1669703146
LBN Legal business name Mctaw, Vickie
Credentials CAC-M
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2010
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers