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MORIAH INCORPORATED NPI 1558544130


NPI Information

NPI: 1558544130
Provider Name: MORIAH, INCORPORATED

Doing Business As: EISENHOWER CENTER

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3200 E EISENHOWER PKWY
ANN ARBOR, MI
ZIP 48108
Phone: (734) 677-0070
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MORIAH, INCORPORATED is a mental health (including community mental health center) clinic center in Ann Arbor, MI. MORIAH, INCORPORATED NPI is 1558544130. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eisenhower Center.

The provider's business location address is:

3200 E EISENHOWER PKWY
ANN ARBOR, MI
ZIP 48108-231
Phone: (734) 677-0070
Fax: (734) 677-0890

The provider's authorized official is Tanja Taddonio .
The authorized official title is Billing And Collections Manager and has the following contact phone number (734) 677-0070.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 11/16/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinicalNo
3163WP0808XRegistered NursePsychiatric/Mental HealthNo
4163WW0000XRegistered NurseWound CareNo
5164W00000XLicensed Practical NurseNo
6235Z00000XSpeech-Language PathologistNo
7261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
8320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
9320700000XResidential Treatment Facility, Physical DisabilitiesAL810015274MICHIGANNo
10320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
11323P00000XPsychiatric Residential Treatment FacilityNo
12324500000XSubstance Abuse Rehabilitation FacilitySA0810348MICHIGANNo
13103K00000XBehavior AnalystNo
14251S00000XCommunity/Behavioral HealthNo
15174H00000XHealth EducatorNo

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: 4/28/2024

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