| The Loving Head Quarter | |
|
21820 Beverly St Oak Park MI 48237-2503 | |
| (248) 796-7291 | |
| Not Available |
| Full Name | The Loving Head Quarter |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21820 Beverly St, Oak Park, Michigan |
| Authorized Official Name and Position | Shanell Clark (OFFICER) |
| Authorized Official Contact | 2487967291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Loving Head Quarter 21820 Beverly St Oak Park MI 48237-2503 Ph: (248) 796-7291 | The Loving Head Quarter 21820 Beverly St Oak Park MI 48237-2503 Ph: (248) 796-7291 |
| NPI Number | 1093021859 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093021859 | NPI | - | NPPES |
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