Organization · Type 2 NPI

Henry Ford Maplegrove Center

Children's Substance Abuse Rehabilitation Facility · West Bloomfield, MI

NPI number 1295767630 Active

Practice location

6773 W Maple Rd
West Bloomfield, MI 48322-3013

Fax (248) 661-7347

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility	324500000X	None listed
Children's Substance Abuse Rehabilitation Facility Primary	3245S0500X	None listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

23 other providers at this address

NPI record

NPI: 1295767630
Entity type: Organization (Type 2)
Issued: Jul 7, 2006
Last updated: Mar 8, 2024
Status: Active

Other names

<unavail>
Henry Ford Health System · doing business as
Henry Ford Healthsystem · other name
Henry Ford Healthsystem · other name

Authorized official

Robin Damschroder
EVP, Chief Finance
(248) 648-7204

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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 1295767630

Henry Ford Maplegrove Center's National Provider Identifier is 1295767630, issued on Jul 7, 2006. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in West Bloomfield, MI. The record was last updated on Mar 8, 2024.