Organization
HNERY FORD BEHAVIORAL HEALTH- WESTPARK CENTER
Active
Other names
Henry Ford Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SMITH (SVP)
(517) 205-6407
Entity
Organization
Contact information
Practice address
5111 AUTO CLUB DR, SUITE 112, DEARBORN, MI 48126-2749
(313) 317-2000
(313) 317-2090
Mailing address
5111 AUTO CLUB DR, SUITE 112, DEARBORN, MI 48126-2749
(313) 317-2000
(313) 317-2090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/21/2006
Last updated
03/06/2024
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