| Southfield - Franklin Place Site | |
|
29200 Northwestern Hwy Ste 110 Southfield MI 48034-1055 | |
| (248) 276-8000 | |
| (248) 276-9280 |
| Full Name | Southfield - Franklin Place Site |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 29200 Northwestern Hwy Ste 110, Southfield, Michigan |
| Authorized Official Name and Position | Brent Wirth (PRESIDENT & CEO) |
| Authorized Official Contact | 2484756300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfield - Franklin Place Site 2399 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (248) 475-6300 | Southfield - Franklin Place Site 29200 Northwestern Hwy Ste 110 Southfield MI 48034-1055 Ph: (248) 276-8000 |
| NPI Number | 1902557036 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 10/01/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902557036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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