OrganizationActive
New Passages
NPI 1720332265 · Point of Service · Mt. Clemens, MI
Provider details
- NPI number
- 1720332265
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sally Chodoba, Trainer(248) 860-5749
Specialties & taxonomies
Managed Care Organizations
Practice location
175 N. Grorsebeck Hwy
Mt. Clemens, MI 48043
Phone: (586) 627-0024
Fax: (586) 624-0027
Approximate (ZIP-level) locationGet directions
Mailing address
175 N. Grorsebeck Hwy
Mt. Clemens, MI 48043
Registry dates
- Enumerated
- 2012-11-06
- Last updated
- 2012-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.