Organization · Type 2 NPI

St. John Providence Community Health

Adolescent and Children Mental Health Clinic/Center · Detroit, MI

NPI number 1902279466 Active

Practice location

11600 E 7 Mile Rd
Detroit, MI 48205-2112

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	6401013184 (MI)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

2 other providers at this address

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About NPI 1902279466

St. John Providence Community Health's National Provider Identifier is 1902279466, issued on Nov 5, 2015. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Detroit, MI. The record was last updated on Nov 18, 2015.