Organization
DIVERSIFIED BEHAVIORAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIA MCDADE PHD (OWNER/ CLINICAL DIRECTOR)
(734) 260-0707
Entity
Organization
Contact information
Practice address
309 MCMORRAN BLVD, PORT HURON, MI 48060-3807
(734) 260-0707
Mailing address
3023 LINDSAY LN, PORT HURON, MI 48060-7780
(734) 260-0707
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/14/2021
Last updated
05/27/2021
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