Organization
HENRY FORD HEALTH GENESYS HOSPITAL
Active
Other names
Henry Ford Genesys Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CEBALT (MANAGER OF PROVIDER AFFAIRS)
(313) 874-6764
Entity
Organization
Contact information
Practice address
1460 N CENTER RD, BURTON, MI 48509-1429
(810) 715-4616
Mailing address
1460 N CENTER RD, BURTON, MI 48509-1429
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B512180
BS
MI
01
—
OP250138
M CARE
MI
Enumeration date
06/09/2008
Last updated
09/23/2025
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