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NPI 1861932550 · Community/Behavioral Health Agency · Dearborn, MI
Provider details
- NPI number
- 1861932550
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Rhonda Miller, Program Manager(313) 584-1193
Specialties & taxonomies
Agencies
Practice location
6450 Maple St
Dearborn, MI 48126-2259
Phone: (313) 216-2202
Fax: (313) 584-3622
Approximate (ZIP-level) locationGet directions
Mailing address
6450 Maple St
Dearborn, MI 48126-2259
Registry dates
- Enumerated
- 2017-03-01
- Last updated
- 2017-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.