| Integra Behavioral Health Llc | |
|
25625 Kennedy St Dearborn Hts MI 48127-3839 | |
| (313) 550-5174 | |
| Not Available |
| Full Name | Integra Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25625 Kennedy St, Dearborn Hts, Michigan |
| Authorized Official Name and Position | Gino Hanna (PRESIDENT/OWNER) |
| Authorized Official Contact | 3135505174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Behavioral Health Llc 25625 Kennedy St Dearborn Hts MI 48127-3839 Ph: () - | Integra Behavioral Health Llc 25625 Kennedy St Dearborn Hts MI 48127-3839 Ph: (313) 550-5174 |
| NPI Number | 1336943703 |
|---|---|
| Provider Enumeration Date | 04/03/2025 |
| Last Update Date | 04/03/2025 |
| Certification Date | 04/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336943703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Outsidethebox Detroit Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4131 Clippert St, Dearborn Hts, MI 48125 Phone: 313-680-0019 |