| Detroit Wayne Mental Health Authority | |
|
707 W Milwaukee St Detroit MI 48202-2943 | |
| (313) 344-9099 | |
| Not Available |
| Full Name | Detroit Wayne Mental Health Authority |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 707 W Milwaukee St, Detroit, Michigan |
| Authorized Official Name and Position | Stacie Durant (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3133449099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Wayne Mental Health Authority 707 W Milwaukee St Detroit MI 48202-2943 Ph: (313) 344-9090 | Detroit Wayne Mental Health Authority 707 W Milwaukee St Detroit MI 48202-2943 Ph: (313) 344-9099 |
| NPI Number | 1609290451 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609290451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
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