| Premier Care Warren | |
|
23700 Van Dyke Ave Warren MI 48089-1600 | |
| (586) 758-6670 | |
| Not Available |
| Full Name | Premier Care Warren |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23700 Van Dyke Ave, Warren, Michigan |
| Authorized Official Name and Position | Kris Monique Lewis (SUBSTANCE ABUSE THERAPIST) |
| Authorized Official Contact | 5867586670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Care Warren 20205 Sorrento St Detroit MI 48235-1191 Ph: (313) 585-8389 | Premier Care Warren 23700 Van Dyke Ave Warren MI 48089-1600 Ph: (586) 758-6670 |
| NPI Number | 1356621668 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356621668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6803085617 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | 1-04845 (Michigan) | Secondary |
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