| Phri Of Michigan, Llc | |
|
2501 W Grand Blvd Detroit MI 48208-1236 | |
| (248) 252-7050 | |
| Not Available |
| Full Name | Phri Of Michigan, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2501 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | John Smith (CEO) |
| Authorized Official Contact | 2406443578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phri Of Michigan, Llc 2501 W Grand Blvd Detroit MI 48208-1236 Ph: (248) 252-7050 | Phri Of Michigan, Llc 2501 W Grand Blvd Detroit MI 48208-1236 Ph: (248) 252-7050 |
| NPI Number | 1801658463 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801658463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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