| Child And Young Adult Resource Center | |
|
3804 Hazel Ave Lincoln Park MI 48146-3739 | |
| (734) 552-8539 | |
| Not Available |
| Full Name | Child And Young Adult Resource Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3804 Hazel Ave, Lincoln Park, Michigan |
| Authorized Official Name and Position | Fred H Gruber (OWNER) |
| Authorized Official Contact | 7345528539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Young Adult Resource Center 3804 Hazel Ave Lincoln Park MI 48146-3739 Ph: (734) 552-8539 | Child And Young Adult Resource Center 3804 Hazel Ave Lincoln Park MI 48146-3739 Ph: (734) 552-8539 |
| NPI Number | 1508639444 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508639444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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