Provider Demographics
NPI:1609857978
Name:TRAINING & TREATMENT INNOVATIONS INC
Entity Type:Organization
Organization Name:TRAINING & TREATMENT INNOVATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KISS-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-969-9932
Mailing Address - Street 1:1450 S LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6108
Mailing Address - Country:US
Mailing Address - Phone:248-969-9932
Mailing Address - Fax:248-969-3006
Practice Address - Street 1:1450 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6108
Practice Address - Country:US
Practice Address - Phone:248-969-9932
Practice Address - Fax:248-969-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4703537Medicaid
MI4958492Medicaid
MI4646501Medicaid
MI4703493Medicaid
MI4940694Medicaid
MI4279879Medicaid
MI4958509Medicaid
MI0P02590Medicare PIN
MIP15560001Medicare PIN
MI4703537Medicaid
MIP15560007Medicare PIN
MIP15560006Medicare PIN
MIP15560002Medicare PIN
MI4279879Medicaid
MIP15560003Medicare PIN
MI0P15560Medicare PIN