Healthcare Provider Details

I. General information

NPI: 1679757066
Provider Name (Legal Business Name): ABH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 S ROCHESTER RD STE 2250
ROCHESTER HILLS MI
48307-5169
US

IV. Provider business mailing address

3950 S ROCHESTER RD STE 2250
ROCHESTER HILLS MI
48307-5169
US

V. Phone/Fax

Practice location:
  • Phone: 248-650-8383
  • Fax: 248-650-4343
Mailing address:
  • Phone: 248-650-8383
  • Fax: 248-650-4343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301012845
License Number StateMI

VIII. Authorized Official

Name: DR. SARA KATHERINE CHASE
Title or Position: PRESIDENT
Credential: PHD
Phone: 248-650-8383