Organization
MICHIGAN MENTAL AND BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRADLEY (CEO)
(313) 850-6821
Entity
Organization
Contact information
Practice address
26743 S RIVER PARK DR, INKSTER, MI 48141-1851
(313) 717-5911
Mailing address
7300 WILDERNESS PARK DR APT 204, WESTLAND, MI 48185-5978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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