| Childrens Hospital | |
|
3901 Beaubien St Detroit MI 48201-2119 | |
| (313) 578-2564 | |
| (313) 578-3964 |
| Full Name | Childrens Hospital |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3901 Beaubien St, Detroit, Michigan |
| Authorized Official Name and Position | Joseph Scallon (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 3135788564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Hospital 3901 Beaubien St Detroit MI 48201-2119 Ph: (313) 578-2564 | Childrens Hospital 3901 Beaubien St Detroit MI 48201-2119 Ph: (313) 578-2564 |
| NPI Number | 1356545404 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356545404 | NPI | - | NPPES |
| 0H22264 | Other | MI | BCBSM PROVIDER NUMBER |
| 0G41064 | Other | MI | BCBSM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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