Ascension Southeast Michigan Community Health
Clinic/Center, Adolescent and Children Mental Health in Detroit, MI. Organization (NPI-2).
NPI number1609245216
StatusActive
Last updated in NPPESMay 31, 2019
Details
- NPI
- 1609245216
- Entity type
- Organization (NPI-2)
- Legal business name
- Ascension Southeast Michigan Community Health
- Organization subpart
- No
- Enumeration date
- Sep 24, 2015
- Last updated
- May 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 6401013184 | MI | Yes |
Practice location
11600 E 7 Mile RdDetroit, MI 48205-2112
Phone 313-373-5974 · Fax 313-372-6579
Mailing address
11600 E 7 Mile RdDetroit, MI 48205-2112
Phone 313-373-5974 · Fax 313-372-6579
Authorized official
Lonnie Frederick Harvey
Behavioral Heallth Counselor
3133725974
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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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