Provider Demographics
NPI:1346498623
Name:RELATIONSHIP TIMES
Entity Type:Organization
Organization Name:RELATIONSHIP TIMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEANESTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODNEZ-SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-730-0602
Mailing Address - Street 1:5582 HOBNAIL CIR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1628
Mailing Address - Country:US
Mailing Address - Phone:248-730-0602
Mailing Address - Fax:
Practice Address - Street 1:5582 HOBNAIL CIR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-1628
Practice Address - Country:US
Practice Address - Phone:248-730-0602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010801591041C0700X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty