| Intervention Network Inc. | |
|
8410 Flamingo St Westland MI 48185-1762 | |
| (734) 422-2606 | |
| (734) 422-2608 |
| Full Name | Intervention Network Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8410 Flamingo St, Westland, Michigan |
| Authorized Official Name and Position | Louise Stephanie Dery (ADMINISTRATOR) |
| Authorized Official Contact | 7344222606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intervention Network Inc. Po Box 871004 Canton MI 48187-6004 Ph: (734) 422-2606 | Intervention Network Inc. 8410 Flamingo St Westland MI 48185-1762 Ph: (734) 422-2606 |
| NPI Number | 1205979234 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205979234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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