Organization
ADAMS BEHAVIORAL & PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN RUSSELL ADAMS (CLINICIAN)
(313) 402-7779
Entity
Organization
Contact information
Practice address
17340 W 12 MILE RD STE 205, SOUTHFIELD, MI 48076-6322
(313) 402-7779
Mailing address
17340 W 12 MILE RD STE 205, SOUTHFIELD, MI 48076-6322
(313) 402-7779
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6801088547
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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