DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HENRY FORD BEHAVIORAL HEALTH- WEST PARK CENTER

MEDICARE: HENRY FORD BEHAVIORAL HEALTH- WEST PARK CENTER
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
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
4261Q00000XClinic/Center

General Provider Information

NPI Number : 1841223401
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENRY FORD BEHAVIORAL HEALTH- WEST PARK CENTER
Provider Business Mailing Address
First Line : 5111 AUTO CLUB DR
Second Line : SUITE 112
City : DEARBORN
State : MI
Zip : 48126-2749
Country : US
Telephone Number : 313-317-2000
Fax Number : 313-317-2090
Provider Business Practice Location Address
First Line : 5111 AUTO CLUB DR
Second Line : SUITE 112
City : DEARBORN
State : MI
Zip : 48126-2749
Country : US
Telephone Number : 313-317-2000
Fax Number : 313-317-2090
Authorized Official
Title or Position : SR. V. P.
Name : MR. JAMES CONNELLY
Credential :
Telephone Number : 313-874-8714
Provider Enumeration Date : 07/08/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1942233861 — SUSAN G MATLAS LMSW, LMFT
Practice Location Address:
5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751
1649203563 — DIANE OLSON LMSW
Practice Location Address:
5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751
1952334815 — ALAN WARBELOW MA, LLP
Practice Location Address:
5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751
1972536621 — MS. GISELLE MARIE ST. LOUIS MA, LPC
Practice Location Address:
5111 AUTO CLUB DR
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751
1902830193 — PREETI VENKATARAMAN MD
Practice Location Address:
5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751
1881628089 — SANDHYA MALLYA MA, LLP
Practice Location Address:
5111 AUTO CLUB DR , #120
DEARBORN, MI
48126-2749
Practice Phone: 313-583-0735
Practice Fax: 313-583-0751

Directions to “HENRY FORD BEHAVIORAL HEALTH- WEST PARK CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.