Organization
AGHATA CENTER FOR HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN PHILLIPS LMSW (CLINICAL DIRECTOR)
(586) 256-5820
Entity
Organization
Contact information
Practice address
44056 MOUND RD, SUITE103, STERLING HEIGHTS, MI 48314-1357
(586) 256-5820
Mailing address
39060 PINERIDGE ST, HARRISON TOWNSHIP, MI 48045-2084
(586) 256-5820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801083242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12210120
CAQH
—
Enumeration date
11/20/2014
Last updated
12/22/2014
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