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23D2300881 CLIA NUMBER - DETROIT WAYNE INTEGRATED HEALTH NETWORK CRISIC CARE CENTER

Laboratory Demographics

CLIA Number: 23D2300881

Facility Name: DETROIT WAYNE INTEGRATED HEALTH NETWORK CRISIC CARE CENTER

Facility Address:
707 W MILWAUKEE
DETROIT, MI
ZIP 48202
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Facility Phone Number: 313 833-3350

Facility Type: Other - CRISIS STABILIZATION UNIT

Certificate Type: Waiver
NPI Number: 1558798934

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 23D2300881
LAB Type Other - CRISIS STABILIZATION UNIT
Facility Name DETROIT WAYNE INTEGRATED HEALTH NETWORK CRISIC CARE CENTER
Street 707 W MILWAUKEE
City DETROIT
State MI
ZIP 48202
Phone 313 833-3350
CertificateType 4
CertificateEffectiveDate 3/18/2024
CertificateExpirationDate 3/17/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024