| Children's Hospital | |
|
3901 Beaubien St Detroit MI 48201-2119 | |
| (313) 745-0633 | |
| (313) 745-5395 |
| Full Name | Children's Hospital |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3901 Beaubien St, Detroit, Michigan |
| Authorized Official Name and Position | Linsday Joseph (CFO) |
| Authorized Official Contact | 3137455437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital 3901 Beaubien St Detroit MI 48201-2119 Ph: (313) 745-0633 | Children's Hospital 3901 Beaubien St Detroit MI 48201-2119 Ph: (313) 745-0633 |
| NPI Number | 1790094159 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790094159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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