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Organization

ASCENSION EASTWOOD BEHAVIORAL HEALTH

Active
Other names
Eastwood CLinics
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN CANDELA LMSW (DIRECTOR)
(586) 753-0402
Entity
Organization

Contact information

Practice address
30701 WOODWARD AVE, SUITE 200, ROYAL OAK, MI 48073-0987
(248) 288-9333
(248) 288-1362
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(248) 680-8000
(482) 923-8522

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
251S00000X
Community/Behavioral Health Agency
6301012297
MI

Other

Enumeration date
07/02/2007
Last updated
06/20/2022
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