| Keystone Behavioral Health Pllc | |
|
28175 Haggerty Rd Novi MI 48377-2903 | |
| (734) 646-5327 | |
| Not Available |
| Full Name | Keystone Behavioral Health Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28175 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Susan L Taylor (OWNER) |
| Authorized Official Contact | 7346465327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Behavioral Health Pllc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Keystone Behavioral Health Pllc 28175 Haggerty Rd Novi MI 48377-2903 Ph: (734) 646-5327 |
| NPI Number | 1184073868 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 06/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184073868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801082631 (Michigan) | Primary |
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