Provider Demographics
NPI:1417543067
Name:ABLETO BEHAVIORAL HEALTH SERVICES OF MICHIGAN, P.C.
Entity Type:Organization
Organization Name:ABLETO BEHAVIORAL HEALTH SERVICES OF MICHIGAN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-422-5386
Mailing Address - Street 1:320 W 37TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4675
Mailing Address - Country:US
Mailing Address - Phone:646-757-3031
Mailing Address - Fax:
Practice Address - Street 1:320 W 37TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4252
Practice Address - Country:US
Practice Address - Phone:646-757-3031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health