OrganizationActive
Access
NPI 1215366646 · Community/Behavioral Health Agency · Dearborn, MI
Provider details
- NPI number
- 1215366646
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Hakeem Lummuba, Clinical Dirctor
- License
- 6801083912 (MI)
Practice location
2651 Saulino Ct
Dearborn, MI 48120-1556
Phone: (313) 842-7010
Fax: (313) 842-5150
Mailing address
6451 Schaefer Rd
Dearborn, MI 48126-2212
Registry dates
- Enumerated
- 2013-11-06
- Last updated
- 2013-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.