Healthcare Provider Details

I. General information

NPI: 1467770289
Provider Name (Legal Business Name): APEX BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 05/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17940 FARMINGTON RD
LIVONIA MI
48152-4444
US

IV. Provider business mailing address

1547 S WAYNE RD
WESTLAND MI
48186-5436
US

V. Phone/Fax

Practice location:
  • Phone: 734-466-3311
  • Fax: 734-466-3313
Mailing address:
  • Phone: 734-729-3133
  • Fax: 734-405-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: THOMAS JOHNSON
Title or Position: CEO
Credential: LMSW
Phone: 734-729-3133