Henry Ford Health System | |
5111 Auto Club Dr Suite 112 Bldig 5 Dearborn MI 48126-2749 | |
(313) 317-2000 | |
(313) 317-2090 |
Full Name | Henry Ford Health System |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 5111 Auto Club Dr, Dearborn, Michigan |
Authorized Official Name and Position | Judith M Malinowski (BEHAVIORAL HEALTH THERAPIST) |
Authorized Official Contact | 3133172000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Henry Ford Health System 5111 Auto Club Dr Suite 112 Bldig 5 Dearborn MI 48126-2749 Ph: (313) 317-2000 | Henry Ford Health System 5111 Auto Club Dr Suite 112 Bldig 5 Dearborn MI 48126-2749 Ph: (313) 317-2000 |
NPI Number | 1891075958 |
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Provider Enumeration Date | 08/22/2011 |
Last Update Date | 08/22/2011 |
Identifier | Type | State | Issuer |
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1891075958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | 6301007252 (Michigan) | Primary |
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