Organization · Type 2 NPI

Wayne State University Psychology Clinic

Community/Behavioral Health Agency · Detroit, MI

NPI number 1104095868 Active

Practice location

60 Farnsworth St, Rackham Bldg, Rm. 109
Detroit, MI 48202-4060

Fax (313) 577-8949

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104095868

Wayne State University Psychology Clinic's National Provider Identifier is 1104095868, issued on Feb 27, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 27, 2008.