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 48215-2601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Northeast Guidance Center can be contacted via phone (313) 824-8000, or through Nederlander, Sue via phone (313) 824-5542.

Contact Information

Primary practice address
12800 E Warren Ave Detroit MI 48215-2601
Phone: (313) 824-8000
Fax: (313) 824-5589
Website:
Map and Directions
Authorized official contact:
Name: Nederlander, Sue
Phone: (313) 824-5542

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1922037134
LBN Legal business name Northeast Guidance Center
DBA Doing business as
Authorized official Nederlander, Sue
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 26th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922037134 NPPES
Michigan MEDICAID 104682983
Michigan MEDICAID 21-3119549
Michigan Other 750910874

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