NPI:
1295767630
Provider Name:
HENRY FORD MAPLEGROVE CENTER
Other Name: HENRY FORD HEALTHSYSTEM
Classification:
Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type:
Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 23D0686797
Address:
6773 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322
Phone:
(248) 661-6100
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HENRY FORD MAPLEGROVE CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in West Bloomfield, MI. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. HENRY FORD MAPLEGROVE CENTER NPI is 1295767630. The provider is registered as an organization entity type.
The provider Other Name Is Henry Ford Healthsystem.
The provider's business location address is:
6773 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 661-6100
Fax: (248) 661-7347
The provider's authorized official is Robin Damschroder .
The authorized official title is Evp, Chief Finance and has the following contact phone number (248) 648-7204.
The CLIA number assigned to this NPI record is 23D0686797 - hospital with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/7/2006 and was last updated on 3/8/2024.