OrganizationActive
St. John Providence Community Health
NPI 1902279466 · Adolescent and Children Mental Health Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1902279466
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lonnie Harvey, Behavioral Health Counselor(313) 372-5974
- License
- 6401013184 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11600 E 7 Mile Rd
Detroit, MI 48205-2112
Phone: (313) 372-5974
Approximate (ZIP-level) locationGet directions
Mailing address
11600 E 7 Mile Rd
Detroit, MI 48205-2112
Registry dates
- Enumerated
- 2015-11-05
- Last updated
- 2015-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.