ST. JOHN PROVIDENCE COMMUNITY HEALTH is an adolescent and children mental health clinic center in Detroit, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ST. JOHN PROVIDENCE COMMUNITY HEALTH NPI is 1902279466. The provider is registered as an organization entity type.
The provider's business location address is:
11600 E 7 MILE RD
DETROIT, MI
ZIP 48205-112
Phone: (313) 372-5974
The provider's authorized official is Lonnie Harvey .
The authorized official title is Behavioral Health Counselor and has the following contact phone number (313) 372-5974.
The CLIA number assigned to this NPI record is 23D2027169 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/18/2015.