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8623 N Wayne Rd Ste 210 Westland MI 48185-1137 | |
| (734) 523-8250 | |
| (734) 523-8215 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8623 N Wayne Rd Ste 210, Westland, Michigan |
| Authorized Official Name and Position | Carol Zuniga (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7354991513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
37450 Schoolcraft Rd Ste 110 Livonia MI 48150-1000 Ph: (734) 458-4601 | 8623 N Wayne Rd Ste 210 Westland MI 48185-1137 Ph: (734) 523-8250 |
| NPI Number | 1780198879 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780198879 | NPI | - | NPPES |
| 1265406 | Medicaid | MI |
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