| Mckenarld Treatment Center, In. | |
|
24801 5 Mile Rd Suite 19 Redford MI 48239-3655 | |
| (313) 532-4604 | |
| (313) 532-4608 |
| Full Name | Mckenarld Treatment Center, In. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 24801 5 Mile Rd, Redford, Michigan |
| Authorized Official Name and Position | Bernard Ike Onwuemelie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3135324604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenarld Treatment Center, In. 24801 5 Mile Rd Suite 19 Redford MI 48239-3655 Ph: (313) 532-4604 | Mckenarld Treatment Center, In. 24801 5 Mile Rd Suite 19 Redford MI 48239-3655 Ph: (313) 532-4604 |
| NPI Number | 1275970709 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275970709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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