# NORTHEAST GUIDANCE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053542498
- **Authorized official:** MR. ADAM WEINGARDEN (HOSPITAL LIAISON)
- **Authorized official phone:** (313) 550-9167

## Contact information

- **Practice address:** 20303 KELLY RD, DETROIT, MI 48225-1206
- **Practice address phone:** (313) 245-7000
- **Practice address fax:** (313) 245-7009
- **Mailing address:** 20303 KELLY RD, DETROIT, MI 48225-1206
- **Mailing address phone:** (313) 245-7000
- **Mailing address fax:** (313) 245-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | MI | Yes |

## Other

- **Enumeration date:** 08/03/2009
- **Last updated:** 08/03/2009