| Scott Correctionl Facility | |
|
47500 Five Mile Rd Plymouth MI 48170-2487 | |
| (734) 459-7400 | |
| Not Available |
| Full Name | Scott Correctionl Facility |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 47500 Five Mile Rd, Plymouth, Michigan |
| Authorized Official Name and Position | Aruna Bavineni (STAFF PSYCHIATRIST) |
| Authorized Official Contact | 7344597400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Correctionl Facility 3425 Cherokee Trl Ypsilanti MI 48198-9498 Ph: (734) 481-0239 | Scott Correctionl Facility 47500 Five Mile Rd Plymouth MI 48170-2487 Ph: (734) 459-7400 |
| NPI Number | 1992728331 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992728331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 4301059562 (Michigan) | Primary |
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