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Organization
CHILDREN'S HOSPITAL OF MICHIGAN
Active
Organization
CHILDREN'S HOSPITAL OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SCALLEN (VICE PRESIDENT FINANCE)
(313) 745-3280
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0633
(313) 745-5395
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0633
(313) 745-5395
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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