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36250 Dequindre Rd Suite 310 Sterling Heights MI 48310-7143 | |
| (586) 795-0569 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 36250 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Michelle Barbara Kertes (BILLING MANAGER) |
| Authorized Official Contact | 2483632641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8931 Commerce Rd Suite 103 Commerce Twp MI 48382 Ph: (248) 363-2641 | 36250 Dequindre Rd Suite 310 Sterling Heights MI 48310-7143 Ph: (586) 795-0569 |
| NPI Number | 1457479917 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457479917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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