Development Centers, Inc. | |
17321 Telegraph Rd Detroit MI 48219 | |
(313) 531-2500 | |
(313) 255-3471 |
Full Name | Development Centers, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 17321 Telegraph Rd, Detroit, Michigan |
Authorized Official Name and Position | Catherine Louise Liesman (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3135312500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Development Centers, Inc. 17421 Telegraph Rd Detroit MI 48219-3165 Ph: (313) 531-2500 | Development Centers, Inc. 17321 Telegraph Rd Detroit MI 48219 Ph: (313) 531-2500 |
NPI Number | 1710145818 |
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Provider Enumeration Date | 05/27/2008 |
Last Update Date | 07/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710145818 | NPI | - | NPPES |
750910508 | Other | MI | BCBSM STATE EMPL CHILD |
750910618 | Other | MI | BCBSM STATE EMPL ADULT |
800H217310 | Other | MI | BCBS - CSW GROUP |
P94406 | Other | MI | BLUE CARE NETWORK |
024951 | Other | MI | MIDWEST HEALTH PLAN |
260Q276040 | Other | MI | BCBS - DOCTOR GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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