| New Branch Art Therapy Services Llc | |
|
14411 Kingston St Oak Park MI 48237-1141 | |
| (248) 217-4419 | |
| Not Available |
| Full Name | New Branch Art Therapy Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14411 Kingston St, Oak Park, Michigan |
| Authorized Official Name and Position | Kathryn Elizabeth Whitlock (CLINICAL DIRECTOR/OPS MANAGER) |
| Authorized Official Contact | 2482174419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Branch Art Therapy Services Llc 14411 Kingston St Oak Park MI 48237-1141 Ph: () - | New Branch Art Therapy Services Llc 14411 Kingston St Oak Park MI 48237-1141 Ph: (248) 217-4419 |
| NPI Number | 1245050020 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245050020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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