Northeast Guidance Center
LBN: Northeast Guidance Center
Northeast Guidance Center is an health care organization with primary practice located at 12800 E Warren Ave , Detroit MI 48215-2061. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty.
Northeast Guidance Center can be contacted via phone (313) 824-8000, or through Nederlander, Sue via phone (313) 824-5642.
Contact Information
Primary practice address
12800 E Warren Ave
Detroit MI 48215-2061
Phone: (313) 824-8000
Fax: (313) 824-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1427336411 |
|---|---|
| LBN Legal business name | Northeast Guidance Center |
| DBA Doing business as | |
| Authorized official | Nederlander, Sue |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2011 |
| Last updated | Jul 26th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427336411 | NPPES |
| Michigan | MEDICAID | 21-3119549 |
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