The Golden Room Children'S Mental Health Services, LLC.
Clinic/Center, Adolescent and Children Mental Health in Detroit, MI. Organization (NPI-2).
NPI number1174348247
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1174348247
- Entity type
- Organization (NPI-2)
- Legal business name
- The Golden Room Children'S Mental Health Services, LLC.
- Organization subpart
- No
- Enumeration date
- Nov 22, 2024
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
Practice location
6006 Yorkshire RdDetroit, MI 48224-3826
Phone 989-220-8777
Mailing address
2222 W Grand River Ave Ste AOkemos, MI 48864-1604
Phone 313-241-6903
Authorized official
Dorah Kristine Carter
Owner
9892806095
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All 12 Adolescent and Children Mental Health Clinic/Center providers in Detroit · All 25,238 providers in Detroit
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