Organization
DEMBRO OUTPATIENT SERVICES OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA D BROWN MA, LAC, NCC (CHIEF ADMINISTRATOT)
(313) 575-9629
Entity
Organization
Contact information
Practice address
2021 MONROE ST STE 303, DEARBORN, MI 48124-2926
(313) 800-9266
(313) 490-1516
Mailing address
2021 MONROE ST STE 303, DEARBORN, MI 48124-2926
(313) 800-9266
(313) 490-1516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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