Mckenarld Treatment Center, In. | |
24801 5 Mile Rd Suite 19 Redford MI 48239-3655 | |
(313) 532-4604 | |
(313) 532-4608 |
Full Name | Mckenarld Treatment Center, In. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 24801 5 Mile Rd, Redford, Michigan |
Authorized Official Name and Position | Bernard Ike Onwuemelie (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3135324604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mckenarld Treatment Center, In. 24801 5 Mile Rd Suite 19 Redford MI 48239-3655 Ph: (313) 532-4604 | Mckenarld Treatment Center, In. 24801 5 Mile Rd Suite 19 Redford MI 48239-3655 Ph: (313) 532-4604 |
NPI Number | 1275970709 |
---|---|
Provider Enumeration Date | 05/23/2013 |
Last Update Date | 05/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275970709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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