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NPI Code Detail

MEDICARE: ABARIS HEALTH

MEDICARE: ABARIS HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0400XAddiction (Substance Use Disorder) Psychologist
2103TC1900XCounseling Psychologist
3261Q00000XClinic/Center
4324500000XSubstance Abuse Rehabilitation Facility
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1508202920
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABARIS HEALTH
Provider Business Mailing Address
First Line : 8391 COMMERCE RD
Second Line : SUITE 103
City : COMMERCE TOWNSHIP
State : MI
Zip : 48382-4489
Country : US
Telephone Number : 248-363-3241
Fax Number : 248-636-2762
Provider Business Practice Location Address
First Line : 2501 ROCHESTER CT
Second Line :
City : TROY
State : MI
Zip : 48083-1875
Country : US
Telephone Number : 248-656-8500
Fax Number : 248-656-8600
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAUL SMITH
Credential : PHD
Telephone Number : 248-656-8500
Provider Enumeration Date : 05/13/2013
Last Update Date : 10/15/2013

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Directions to “ABARIS HEALTH ” Practice Location

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