Organization · Type 2 NPI

Moriah, Incorporated

Multi-Specialty Clinic/Center · Selfridge Angb, MI

NPI number 1013585405 Active

Practice location

29991 Mitchell St
Selfridge Angb, MI 48045-4957

Call (734) 677-0070 Map

Fax (734) 677-0890

Mailing address

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center	261QM0850X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Physical Disabilities Residential Treatment Facility	320700000X	None listed

Multi-Specialty Clinic/Center: Definition to come...

NPI record

NPI: 1013585405
Entity type: Organization (Type 2)
Issued: Jun 14, 2021
Last updated: Jun 14, 2021
Status: Active
Subpart: Yes of Moriah Inc.

Other names

Eisenhower Veterans Reintegration Center · other name

Authorized official

Tim Mucha, MHA
Compliance and Contracts Manager
(734) 677-0070

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013585405

Moriah, Incorporated's National Provider Identifier is 1013585405, issued on Jun 14, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Selfridge Angb, MI. The record was last updated on Jun 14, 2021.