Organization
IMAGINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EDWARD BEHEN PHD (CLINICAL PSYCHOLOGIST/DIRECTOR)
(313) 354-3920
Entity
Organization
Contact information
Practice address
100 MAINCENTRE, STE. 16, NORTHVILLE, MI 48167-1578
(313) 354-3920
(313) 656-4052
Mailing address
100 MAINCENTRE, STE. 16, NORTHVILLE, MI 48167-1578
(313) 354-3920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013057
MI
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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