| Henry Ford Macomb Hospital Corporation | |
|
43411 Garfield Rd Clinton Township MI 48038-1152 | |
| (586) 226-7007 | |
| Not Available |
| Full Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 43411 Garfield Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Stephen J. Hathaway (VICE-PRESIDENT FINANCE-CFO) |
| Authorized Official Contact | 5862632705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Macomb Hospital Corporation 215 North Ave Mount Clemens MI 48043-1716 Ph: (586) 226-7007 | Henry Ford Macomb Hospital Corporation 43411 Garfield Rd Clinton Township MI 48038-1152 Ph: (586) 226-7007 |
| NPI Number | 1225171218 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225171218 | NPI | - | NPPES |
| 750910634 | Other | MI | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Michigan) | Primary |
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