Organization · NPI-2

1st Behavioral Care & Response, LLC

Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry · Detroit, MI

NPI number1629833090

StatusActive

Last updated in NPPESFeb 15, 2024

Details

NPI: 1629833090
Entity type: Organization (NPI-2)
Legal business name: 1st Behavioral Care & Response, LLC
Organization subpart: No
Enumeration date: Feb 15, 2024
Certification date: Feb 15, 2024
Last updated: Feb 15, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084B0040X	Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry	–	–	Yes
103TC0700X	Psychologist, Clinical	–	–
1041C0700X	Social Worker, Clinical	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
2084P0802X	Psychiatry & Neurology, Addiction Psychiatry	–	–
2084A0401X	Psychiatry & Neurology, Addiction Medicine	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–

Practice location

1946 Webb St
Detroit, MI 48206-1282

Phone 313-874-0136 · Fax 313-874-4457

Mailing address

1946 Webb St
Detroit, MI 48206-1282

Phone 313-874-0136 · Fax 313-874-4457

Authorized official

Paul Carr
Owner
2484701228

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.