| Acc | |
|
62 W 7 Mile Rd Detroit MI 48203-1967 | |
| (313) 893-6172 | |
| Not Available |
| Full Name | Acc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 62 W 7 Mile Rd, Detroit, Michigan |
| Authorized Official Name and Position | Carmen Sarafa (DEPUTY DIRECTOR) |
| Authorized Official Contact | 3138936172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acc 62 W 7 Mile Rd Detroit MI 48203-1967 Ph: (313) 893-6172 | Acc 62 W 7 Mile Rd Detroit MI 48203-1967 Ph: (313) 893-6172 |
| NPI Number | 1497086664 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 01/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497086664 | NPI | - | NPPES |
| 3434247 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4704272539 (Michigan) | Primary |
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