| County Of Wayne | |
|
1025 E Forest Ave Building C Detroit MI 48207-1024 | |
| (313) 833-2800 | |
| (313) 833-2841 |
| Full Name | County Of Wayne |
|---|---|
| Speciality | Case Management |
| Location | 1025 E Forest Ave, Detroit, Michigan |
| Authorized Official Name and Position | Michelle A Esterbrook (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Contact | 3138332830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Wayne 1025 E Forest Ave Building C Detroit MI 48207-1024 Ph: (313) 833-2800 | County Of Wayne 1025 E Forest Ave Building C Detroit MI 48207-1024 Ph: (313) 833-2800 |
| NPI Number | 1114144847 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114144847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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