Organization
ASNAA
Active
Other names
iAMERICA Behavioral & Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
RABIA LATIF (PRESIDENT)
(734) 262-4386
Entity
Organization
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 307-0088
(313) 381-2235
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 558-9397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015158
MI
208D00000X
General Practice Physician
FS1917256
MI
251S00000X
Community/Behavioral Health Agency
FS1917256
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
05/16/2023
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