Macomb Oakland Regional Center Inc. | |
5111 Auto Club Dr Dearborn MI 48126-2749 | |
(248) 536-5085 | |
(248) 536-5086 |
Full Name | Macomb Oakland Regional Center Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 5111 Auto Club Dr, Dearborn, Michigan |
Authorized Official Name and Position | Amber Brantley (CFO) |
Authorized Official Contact | 5862638720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Macomb Oakland Regional Center Inc. 19805 Farmington Rd Livonia MI 48152-1444 Ph: (248) 536-5085 | Macomb Oakland Regional Center Inc. 5111 Auto Club Dr Dearborn MI 48126-2749 Ph: (248) 536-5085 |
NPI Number | 1679218739 |
---|---|
Provider Enumeration Date | 05/03/2022 |
Last Update Date | 10/17/2022 |
Certification Date | 10/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679218739 | NPI | - | NPPES |
1023199965 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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