Ascension Eastwood Behavioral Health
Psychologist in Royal Oak, MI. Organization (NPI-2).
NPI number1740408244
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1740408244
- Entity type
- Organization (NPI-2)
- Legal business name
- Ascension Eastwood Behavioral Health
- Organization subpart
- Yes
- Enumeration date
- Apr 23, 2007
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 104100000X | Social Worker | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Other names
- Eastwood Clinics (Doing Business As)
Practice location
30701 Woodward AvenueSuite 200
Royal Oak, MI 48073-0987
Phone 248-288-9333 · Fax 248-288-1362
Mailing address
28000 Dequindre RdWarren, MI 48092-2468
Phone 586-753-0405 · Fax 586-753-0404
Authorized official
Steven Candela
Director
5867530400
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