| Kdcare Community Aba Services | |
|
20225 Ann Arbor Trl Dearborn Heights MI 48127-2690 | |
| (248) 982-6722 | |
| Not Available |
| Full Name | Kdcare Community Aba Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 20225 Ann Arbor Trl, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Faisal Alsaedi (OWNER) |
| Authorized Official Contact | 2489826722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kdcare Community Aba Services 20225 Ann Arbor Trl Dearborn Heights MI 48127-2690 Ph: () - | Kdcare Community Aba Services 20225 Ann Arbor Trl Dearborn Heights MI 48127-2690 Ph: (248) 982-6722 |
| NPI Number | 1154015584 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 5890157838 |
|---|---|
| Medicare Enrollment ID | O20230808003264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154015584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Haoura J Rizk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376914242 PECOS PAC ID: 9931595055 Enrollment ID: I20220329002482 |
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