| Northeast Guidance Center | |
|
12800 E Warren Ave Detroit MI 48215-2061 | |
| (313) 824-8000 | |
| (313) 824-5589 |
| Full Name | Northeast Guidance Center |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 12800 E Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Sue Nederlander (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3138245642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Guidance Center 2900 Conner Avenue Bldg A Detroit MI 48215 Ph: (313) 308-1400 | Northeast Guidance Center 12800 E Warren Ave Detroit MI 48215-2061 Ph: (313) 824-8000 |
| NPI Number | 1427336411 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427336411 | NPI | - | NPPES |
| 21-3119549 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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