| Northeast Guidance Center | |
|
2900 Conner St Detroit MI 48215-2407 | |
| (313) 308-1400 | |
| Not Available |
| Full Name | Northeast Guidance Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2900 Conner St, Detroit, Michigan |
| Authorized Official Name and Position | Tony Lamont Price (POLICE LIAISON) |
| Authorized Official Contact | 3137843336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Guidance Center 2900 Connor Detroit MI 48203 Ph: (313) 308-1400 | Northeast Guidance Center 2900 Conner St Detroit MI 48215-2407 Ph: (313) 308-1400 |
| NPI Number | 1235552118 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235552118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6802087135 (Michigan) | Primary |
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