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THE HEALING PALACE INC NPI 1407020993


NPI Information

NPI: 1407020993
Provider Name: THE HEALING PALACE INC

Doing Business As: DIVINE INTERVENTIONS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2089 ANITA AVE
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 459-6707
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THE HEALING PALACE INC is a mental health (including community mental health center) clinic center in Grosse Pointe Woods, MI. THE HEALING PALACE INC NPI is 1407020993. The provider is registered as an organization entity type.
The provider Is Doing Business As Divine Interventions.

The provider's business location address is:

2089 ANITA AVE
GROSSE POINTE WOODS, MI
ZIP 48236-427
Phone: (313) 459-6707
Fax: (313) 731-0360

The provider's authorized official is Chontay Detria Taylor Glenn .
The authorized official title is Founder And Ceo and has the following contact phone number (313) 459-6707.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 11/4/2022.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children4704208682MICHIGANNo
2251S00000XCommunity/Behavioral Health470408682MICHIGANNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
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