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Childrens Hospital

Clinic/Center, Adolescent and Children Mental Health in Detroit, MI. Organization (NPI-2).

NPI number1356545404
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1356545404
Entity type
Organization (NPI-2)
Legal business name
Childrens Hospital
Organization subpart
No
Enumeration date
Jun 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Phone 313-578-2564 · Fax 313-578-3964

Mailing address

3901 Beaubien St
Detroit, MI 48201-2119

Phone 313-578-2564 · Fax 313-578-3964

Authorized official

Joseph Scallon
Vice President Finance
3135788564

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Other Adolescent and Children Mental Health Clinic/Center providers in Detroit, MI

All 12 Adolescent and Children Mental Health Clinic/Center providers in Detroit · All 25,238 providers in Detroit

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