Provider Demographics
NPI:1497454052
Name:CUTISE BOSWELL LLC
Entity Type:Organization
Organization Name:CUTISE BOSWELL LLC
Other - Org Name:CUTISE BOSWELL LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CUTISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-742-6847
Mailing Address - Street 1:11297 LESURE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-1250
Mailing Address - Country:US
Mailing Address - Phone:313-742-6847
Mailing Address - Fax:586-353-1902
Practice Address - Street 1:11297 LESURE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-1250
Practice Address - Country:US
Practice Address - Phone:313-742-6847
Practice Address - Fax:586-353-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty