| Community Social Services Of Wayne County | |
|
9851 Hamilton Ave Detroit MI 48202-1424 | |
| (313) 883-2100 | |
| (313) 883-3957 |
| Full Name | Community Social Services Of Wayne County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9851 Hamilton Ave, Detroit, Michigan |
| Authorized Official Name and Position | Patrick J Heron (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3138832339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Social Services Of Wayne County 9851 Hamilton Ave Detroit MI 48202-1424 Ph: (313) 883-2100 | Community Social Services Of Wayne County 9851 Hamilton Ave Detroit MI 48202-1424 Ph: (313) 883-2100 |
| NPI Number | 1891907721 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891907721 | NPI | - | NPPES |
| 750910628 | Other | MI | BLUE CROSS BLUE SHIELD |
| 750913628 | Other | MI | BLUE CROSS BLUE SHIELD |
| 125551 | Other | ME | BEACON HEALTH OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA0820021 (Michigan) | Primary |
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