| Michigan Institute For Prevention Intervention | |
|
18530 Mack Ave 101 Grosse Pointe Farms MI 48236-3254 | |
| (313) 579-9468 | |
| Not Available |
| Full Name | Michigan Institute For Prevention Intervention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18530 Mack Ave, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Jackie Moore (DIRECTOR) |
| Authorized Official Contact | 3135799468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Institute For Prevention Intervention 18530 Mack Ave 101 Grosse Pointe Farms MI 48236-3254 Ph: (313) 579-9468 | Michigan Institute For Prevention Intervention 18530 Mack Ave 101 Grosse Pointe Farms MI 48236-3254 Ph: (313) 579-9468 |
| NPI Number | 1477762474 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477762474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301005272 (Michigan) | Primary |
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