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General NPI Number Information
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NPI Number | 1073322269
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Entity Type | Organization
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Legal Business Name | CNS HEALTHCARE
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 21331 KELLY RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-3265
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Country | US
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Telephone | 248-745-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 279 SUMMIT DR
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City | WATERFORD
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State | MI
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Zip | 48328-3364
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Country | US
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Telephone | 248-745-4900
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF IT
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Name | KATHERINE GROVES
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Credential |
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Telephone | 248-202-4750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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