Healthcare Provider Details

I. General information

NPI: 1497820872
Provider Name (Legal Business Name): YOUNG ADULTS' HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 N HURON ST
YPSILANTI MI
48197-2607
US

IV. Provider business mailing address

47 N HURON ST
YPSILANTI MI
48197-2607
US

V. Phone/Fax

Practice location:
  • Phone: 734-484-3600
  • Fax: 734-484-3100
Mailing address:
  • Phone: 734-484-3600
  • Fax: 734-484-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateMI

VIII. Authorized Official

Name: DEBORAH L NORWOOD
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 734-484-3600