| Innervisions Of Michigan | |
|
8426 Pierson St Detroit MI 48228-2830 | |
| (313) 399-1740 | |
| Not Available |
| Full Name | Innervisions Of Michigan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8426 Pierson St, Detroit, Michigan |
| Authorized Official Name and Position | Caprice Ellene Quinn (CEO) |
| Authorized Official Contact | 3133991740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innervisions Of Michigan 8426 Pierson St Detroit MI 48228-2830 Ph: (313) 399-1740 | Innervisions Of Michigan 8426 Pierson St Detroit MI 48228-2830 Ph: (313) 399-1740 |
| NPI Number | 1417104498 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 08/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417104498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401009466 (Michigan) | Primary |
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