Provider Demographics
NPI:1760966659
Name:RL HURWITZ PC
Entity Type:Organization
Organization Name:RL HURWITZ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HURWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-877-4270
Mailing Address - Street 1:17940 FARMINGTON RD STE 222
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3185
Mailing Address - Country:US
Mailing Address - Phone:248-877-4270
Mailing Address - Fax:734-207-5326
Practice Address - Street 1:17940 FARMINGTON RD STE 222
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3185
Practice Address - Country:US
Practice Address - Phone:248-877-4270
Practice Address - Fax:734-207-5326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty