| The Bettye Harris Larynx Cancer Awareness Center | |
|
21243 Universal Ave Eastpointe MI 48021-2933 | |
| (313) 384-7262 | |
| Not Available |
| Full Name | The Bettye Harris Larynx Cancer Awareness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 21243 Universal Ave, Eastpointe, Michigan |
| Authorized Official Name and Position | Chineva Early (CEO) |
| Authorized Official Contact | 3133847262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bettye Harris Larynx Cancer Awareness Center 21243 Universal Ave Eastpointe MI 48021-2933 Ph: (313) 384-7262 | The Bettye Harris Larynx Cancer Awareness Center 21243 Universal Ave Eastpointe MI 48021-2933 Ph: (313) 384-7262 |
| NPI Number | 1073399168 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 08/07/2025 |
| Certification Date | 08/07/2025 |
| Medicare PECOS PAC ID | 2961841374 |
|---|---|
| Medicare Enrollment ID | O20240418001331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073399168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Christopher Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649710575 PECOS PAC ID: 3173976156 Enrollment ID: I20240125002850 |
| Provider Name | Pamela Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467234195 PECOS PAC ID: 3072056142 Enrollment ID: I20240617003479 |
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