Northeast Guidance Center

NPI 1053542498 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1053542498
Enumeration Date 08/03/2009
Last Updated 08/03/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ADAM ADAM
Position HOSPITAL LIAISON
Phone (313) 245-7000
Fax (313) 245-7009
Practice Location
20303 KELLY RD
DETROIT MI, 48225-1206, US
Phone (313) 245-7000
Fax (313) 245-7009
Business Location
20303 KELLY RD
DETROIT MI, 48225-1206, US
Phone (313) 245-7000
Fax (313) 245-7009
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Northeast Guidance Center NPI is 1053542498, taxonomy code is 302R00000X Northeast Guidance Center physically located at 20303 Kelly Rd, Detroit MI, 48225-1206. NPI Number 1033115704 has the healthcare provider type.

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1053542498 NPI number is provided on an as is basis without warranty of any kind. 1053542498 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Guidance Center are for informational purposes only.