CHILD AND YOUNG ADULT RESOURCE CENTER NPI 1508639444

NPI Information

NPI: 1508639444
Provider Name: CHILD AND YOUNG ADULT RESOURCE CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3804 HAZEL AVE
LINCOLN PARK, MI
ZIP 48146
Phone: (734) 552-8539
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CHILD AND YOUNG ADULT RESOURCE CENTER is a mental health counselor in Lincoln Park, MI. CHILD AND YOUNG ADULT RESOURCE CENTER NPI is 1508639444. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3804 HAZEL AVE
LINCOLN PARK, MI
ZIP 48146-739
Phone: (734) 552-8539

The provider's authorized official is Fred H Gruber .
The authorized official title is Owner and has the following contact phone number (734) 552-8539.

The enumeration date for this NPI number is 11/2/2023 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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