Provider Demographics
NPI:1194360651
Name:HEALTHCALL OF DETROIT
Entity Type:Organization
Organization Name:HEALTHCALL OF DETROIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-440-1496
Mailing Address - Street 1:28000 WOODWARD AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-0961
Mailing Address - Country:US
Mailing Address - Phone:248-440-1496
Mailing Address - Fax:248-395-3370
Practice Address - Street 1:28000 WOODWARD AVE STE 100
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0961
Practice Address - Country:US
Practice Address - Phone:248-440-1496
Practice Address - Fax:248-395-3370
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1497760086
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-08
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty