Organization
COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J HERON (CEO)
(313) 883-2339
Entity
Organization
Contact information
Practice address
9851 HAMILTON AVE, DETROIT, MI 48202-1424
(313) 883-2339
(313) 883-3957
Mailing address
9851 HAMILTON AVE, DETROIT, MI 48202-1424
(313) 883-2100
(313) 883-3957
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA0820021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125551
BEACON HEALTH OPTIONS
MI
01
—
750910628
BLUE CROSS BLUE SHIELD
MI
01
—
750913628
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/17/2007
Last updated
06/02/2016
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