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Henry Ford Health System

Psychiatry & Neurology, Psychiatry in Detroit, MI. Organization (NPI-2).

NPI number1154491983
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1154491983
Entity type
Organization (NPI-2)
Legal business name
Henry Ford Health System
Organization subpart
No
Enumeration date
Nov 9, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry830190MIYes

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-2600

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone 313-916-2600

Authorized official

James Connelly
Sr Vp Cfo
3138768714

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