| Common Ground | |
|
461 Huron, Ste. 100-seminole Pontiac MI 48149 | |
| (248) 918-9649 | |
| Not Available |
| Full Name | Common Ground |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 461 Huron, Ste. 100-seminole, Pontiac, Michigan |
| Authorized Official Name and Position | Matthew Thomas Zimmer (COMMUNITY ACCESS AND LIAISON MANAGE) |
| Authorized Official Contact | 2489189649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Ground 1410 S Telegraph Rd Bloomfield Hills MI 48302-0046 Ph: (248) 918-9649 | Common Ground 461 Huron, Ste. 100-seminole Pontiac MI 48149 Ph: (248) 918-9649 |
| NPI Number | 1881033686 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 06/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881033686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801088896 (Michigan) | Primary |
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