North Central Health Center | |
17141 Ryan Rd Detroit MI 48212-1112 | |
(313) 369-1717 | |
(313) 369-1728 |
Full Name | North Central Health Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 17141 Ryan Rd, Detroit, Michigan |
Authorized Official Name and Position | William H. Peabody (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3133691717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Central Health Center 17141 Ryan Rd Detroit MI 48212-1112 Ph: (313) 369-1717 | North Central Health Center 17141 Ryan Rd Detroit MI 48212-1112 Ph: (313) 369-1717 |
NPI Number | 1841204641 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 02/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841204641 | NPI | - | NPPES |
71020000H26282 | Other | MI | BLUE CROSS BLUE SHIELD ID |
1706446 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1706446 (Michigan) | Primary |
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