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Organization
MATERNAL HEALTH NETWORK
Active
Organization
MATERNAL HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE COCHRAN JR. (OWNER)
(313) 442-6027
Entity
Organization
Contact information
Practice address
1897 STANLEY BLVD, BIRMINGHAM, MI 48009-4149
(313) 442-6027
Mailing address
1897 STANLEY BLVD, BIRMINGHAM, MI 48009-4149
(313) 442-6027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
174N00000X
Lactation Consultant (Non-RN)
—
NULL
174N00000X
Lactation Consultant (Non-RN)
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
Other
Enumeration date
09/10/2018
Last updated
10/05/2019
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