| Henry Ford Behavioral Health | |
|
15420 19 Mile Rd Clinton Township MI 48038-6339 | |
| (586) 226-7007 | |
| (586) 226-7033 |
| Full Name | Henry Ford Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 15420 19 Mile Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Kelly Rae Queen (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5862267026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Behavioral Health 15420 19 Mile Rd Clinton Township MI 48038-6339 Ph: (586) 226-7007 | Henry Ford Behavioral Health 15420 19 Mile Rd Clinton Township MI 48038-6339 Ph: (586) 226-7007 |
| NPI Number | 1811423676 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811423676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6401007827 (Michigan) | Primary |
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