| Childrens Home Of Detroit | |
|
6902 Chicago Rd Warren MI 48092-1686 | |
| (586) 939-4940 | |
| Not Available |
| Full Name | Childrens Home Of Detroit |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6902 Chicago Rd, Warren, Michigan |
| Authorized Official Name and Position | Melvine M Miller (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5869394940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Home Of Detroit 6902 Chicago Rd Warren MI 48092-1686 Ph: (586) 939-4940 | Childrens Home Of Detroit 6902 Chicago Rd Warren MI 48092-1686 Ph: (586) 939-4940 |
| NPI Number | 1932391042 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932391042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 500439 (Michigan) | Primary |
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