St John Providence Community Health
St John Providence Community Health is an Adolescent and Children Mental Health Clinic/Center in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
11600 E 7 Mile RdDetroit, MI 48205-2112
Phone: (313) 372-5974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X · Licence 6401013184 (MI) |
|---|
Record details
| NPI number | 1902279466 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lonnie Harvey — Behavioral Health Counselor · (313) 372-5974 |
| NPI enumerated | November 5, 2015 |
| Last updated in NPPES | November 18, 2015 |
| Mailing address | 11600 E 7 Mile Rd, Detroit, MI 48205-2112 |
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