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General NPI Number Information
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NPI Number | 1205355005
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Entity Type | Organization
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Legal Business Name | HJ BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 16250 NORTHLAND DR STE 218
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5205
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Country | US
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Telephone | 248-726-0094
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Fax | 248-726-0177
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Provider Business Mailing Address
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Address Line | 37500 PEMBROKE AVE UNIT 530114
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City | LIVONIA
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State | MI
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Zip | 48153-5306
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Country | US
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Telephone | 313-268-4521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ESTHER KEELING
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Credential |
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Telephone | 313-268-4521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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