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NPI Code Detail

MEDICARE: ASCENSION EASTWOOD BEHAVIORAL HEALTH

MEDICARE: ASCENSION EASTWOOD BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2104100000XSocial Worker
3106H00000XMarriage & Family Therapist
42084P0800XPsychiatry Physician
5101Y00000XCounselor

General Provider Information

NPI Number : 1114147345
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION EASTWOOD BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : PO BOX 19117
Second Line :
City : BELFAST
State : ME
Zip : 04915-4086
Country : US
Telephone Number : 248-680-8000
Fax Number :
Provider Business Practice Location Address
First Line : 37500 GARFIELD RD STE 175
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-3664
Country : US
Telephone Number : 586-445-2210
Fax Number : 586-445-0070
Authorized Official
Title or Position : SUPERVISOR
Name : SARAH STARKEL
Credential :
Telephone Number : 248-680-8121
Provider Enumeration Date : 04/30/2007
Last Update Date : 11/15/2023

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Directions to “ASCENSION EASTWOOD BEHAVIORAL HEALTH ” Practice Location

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