Organization
NORTHEAST GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM WEINGARDEN (HOSPITAL LIAISON)
(313) 550-9167
Entity
Organization
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Mailing address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MI
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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