Organization · NPI-2

Behavioural Health Clinic PLLC

Clinic/Center, Adult Mental Health · Livonia, MI

NPI number1053994152
StatusActive
Last updated in NPPESMay 5, 2021

Details

NPI
1053994152
Entity type
Organization (NPI-2)
Legal business name
Behavioural Health Clinic PLLC
Organization subpart
No
Enumeration date
May 5, 2021
Certification date
May 5, 2021
Last updated
May 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

39111 6 Mile Rd
Livonia, MI 48152-3926

Phone 248-982-1112

Mailing address

15540 Hidden Ln
Livonia, MI 48154-3275

Phone 248-982-1112

Authorized official

Ibrahim Elias Atallah
Owner
2489821112

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