Organization Name: | DETROIT WAYNE COUNTY COMMUNITY MENTAL HEALTH AGENCY |
NPI Number: | 1457524415 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE REID (MEDICAL DIRECTOR) |
Mailing Address: | 640 Temple St Detroit |
State: | MI US |
Postal Code: | 482012599 |
Phone Number: | 3138332410 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |