OrganizationActive
Centria Healthcare LLC
NPI 1730586710 · Adolescent and Children Mental Health Clinic/Center · Dearborn, MI
Provider details
- NPI number
- 1730586710
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Wilcox, President(248) 299-0030
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19855 Outer Dr
Suite 101
Dearborn, MI 48124-2022
Phone: (248) 299-0030
Street-level locationGet directions
Mailing address
41521 W 11 Mile Rd
Novi, MI 48375-1803
Other names (DBA / former)
- Doing business as
- Centria Healthcare - Dearborn Center
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2014-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.