Organization
BIOMED BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY FELICIA HARTSFIELD (COUNSELOR)
(248) 417-0929
Entity
Organization
Contact information
Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 706-5041
Mailing address
727 W GRAND BLVD, APT. 150, DETROIT, MI 48216-2119
(248) 417-0929
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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