| Community Social Services Of Wayne County | |
|
15450 East Jefferson Ave Suite # 190 Grosse Pointe Park MI 48230-2032 | |
| (313) 852-1200 | |
| (313) 821-1046 |
| Full Name | Community Social Services Of Wayne County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15450 East Jefferson Ave, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Patrick J Heron (CEO) |
| 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 15450 East Jefferson Ave Suite # 190 Grosse Pointe Park MI 48230-2032 Ph: (313) 852-1200 |
| NPI Number | 1639390883 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 06/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639390883 | NPI | - | NPPES |
| 12551 | Other | MI | BEACON HEALTH OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA0820021 (Michigan) | Primary |
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