| Clean Teens | |
|
909 Sheridan St Ypsilanti MI 48197-2712 | |
| (734) 646-8426 | |
| Not Available |
| Full Name | Clean Teens |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 909 Sheridan St, Ypsilanti, Michigan |
| Authorized Official Name and Position | Jason Andrew Seiler (CLINCIAL DIRECTOR) |
| Authorized Official Contact | 7346468426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clean Teens 909 Sheridan St Ypsilanti MI 48197-2712 Ph: (734) 646-8426 | Clean Teens 909 Sheridan St Ypsilanti MI 48197-2712 Ph: (734) 646-8426 |
| NPI Number | 1790072817 |
|---|---|
| Provider Enumeration Date | 07/10/2011 |
| Last Update Date | 07/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790072817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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