Ascension Eastwood Behavioral Health

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

NPI number1447457569

StatusActive

Last updated in NPPESJun 20, 2022

Details

NPI: 1447457569
Entity type: Organization (NPI-2)
Legal business name: Ascension Eastwood Behavioral Health
Organization subpart: No
Enumeration date: Jul 2, 2007
Certification date: Jun 20, 2022
Last updated: Jun 20, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–	Yes
101Y00000X	Counselor	–	–
101YP2500X	Counselor, Professional	–	–
103TC0700X	Psychologist, Clinical	–	–
104100000X	Social Worker	–	–
1041C0700X	Social Worker, Clinical	–	–
251S00000X	Community/Behavioral Health	6301012297	MI

Other names

Eastwood Clinics (Doing Business As)

Practice location

30701 Woodward Ave
Suite 200
Royal Oak, MI 48073-0987

Phone 248-288-9333 · Fax 248-288-1362

Mailing address

28000 Dequindre Rd
Warren, MI 48092-2468

Phone 248-680-8000 · Fax 482-923-8522

Authorized official

Steven Candela
Director
5867530402

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