| Bca Of Detroit, Llc | |
|
15000 Gratiot Ave Detroit MI 48205-1973 | |
| (313) 245-0600 | |
| (313) 245-0650 |
| Full Name | Bca Of Detroit, Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 15000 Gratiot Ave, Detroit, Michigan |
| Authorized Official Name and Position | Brian P. Farley (VICE PRESIDENT & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bca Of Detroit, Llc 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Bca Of Detroit, Llc 15000 Gratiot Ave Detroit MI 48205-1973 Ph: (313) 245-0600 |
| NPI Number | 1699926113 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 08/26/2023 |
| Medicare PECOS PAC ID | 2567520257 |
|---|---|
| Medicare Enrollment ID | O20081119000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699926113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | L411642 (Michigan) | Primary |
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