| Organization Name: | SOUTHEASTERN MICHIGAN HEALTH ASSOCIATION |
| NPI Number: | 1134398027 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS CIESZYNSKI (EXECUTIVE DIRECTOR) |
| Mailing Address: | 11447 Joseph Campau Hamtramck |
| State: | MI US |
| Postal Code: | 48212 |
| Phone Number: | 3133651362 |
| Fax Number: | 3133651350 |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |