Healthcare Provider Details

I. General information

NPI: 1700984341
Provider Name (Legal Business Name): QUALITY BEHAVORIAL HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 E GRAND BLVD
DETROIT MI
48207-2529
US

IV. Provider business mailing address

751 E GRAND BLVD
DETROIT MI
48207-2529
US

V. Phone/Fax

Practice location:
  • Phone: 313-922-2222
  • Fax: 313-922-8771
Mailing address:
  • Phone: 313-922-2222
  • Fax: 313-922-8771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number4301040609
License Number StateMI

VIII. Authorized Official

Name: MR. NAVEED SYED
Title or Position: C.E.O
Credential: C.E.O
Phone: 313-922-2222