# HENRY FORD BEHAVIORAL HEALTH- WEST BLOOMFIELD

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

## Provider details

- **NPI number:** 1932621554
- **Authorized official:** THOMAS NANTAIS (COO)
- **Authorized official phone:** (313) 874-9205

## Contact information

- **Practice address:** 6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
- **Practice address phone:** (248) 661-4100
- **Mailing address:** 6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
- **Mailing address phone:** (248) 661-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2017
- **Last updated:** 07/21/2022