Provider Demographics
NPI:1679021224
Name:ADVANCED THERAPEUTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:ADVANCED THERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CTRS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:DEVORAH
Authorized Official - Last Name:LEFEVRE
Authorized Official - Suffix:
Authorized Official - Credentials:CTRS
Authorized Official - Phone:734-352-3543
Mailing Address - Street 1:3588 PLYMOUTH RD
Mailing Address - Street 2:PMB 393
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2603
Mailing Address - Country:US
Mailing Address - Phone:734-352-3543
Mailing Address - Fax:
Practice Address - Street 1:3588 PLYMOUTH RD
Practice Address - Street 2:PMB 393
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2603
Practice Address - Country:US
Practice Address - Phone:734-352-3543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services