| The Children's Center Of Wayne Co., Inc. | |
|
79 W Alexandrine St Detroit MI 48201-2015 | |
| (313) 262-0951 | |
| Not Available |
| Full Name | The Children's Center Of Wayne Co., Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 79 W Alexandrine St, Detroit, Michigan |
| Authorized Official Name and Position | Tiffany Leid (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 3132620951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Center Of Wayne Co., Inc. 79 W Alexandrine St Detroit MI 48201-2015 Ph: (313) 262-0951 | The Children's Center Of Wayne Co., Inc. 79 W Alexandrine St Detroit MI 48201-2015 Ph: (313) 262-0951 |
| NPI Number | 1023736212 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023736212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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