Organization
EASTWOOD COMMUNITY CLINICS
Active
Parent organization
EASTWOOD COMMUNITY CLINICS
Other names
Eastwood Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTWOOD COMMUNITY CLINICS
Authorized official
STEVEN CANDELA LMSW (DIRECTOR)
(586) 753-0400
Entity
Organization
Contact information
Practice address
132 TRUMBULL ST, SAINT CLAIR, MI 48079-5372
(810) 329-5340
(810) 329-8964
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0400
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910702
BCBSMI OPC NUMBER
MI
Enumeration date
04/23/2007
Last updated
07/21/2022
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