Provider Demographics
NPI:1598094294
Name:ABH CORPORATION
Entity Type:Organization
Organization Name:ABH CORPORATION
Other - Org Name:ABARIS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-650-8383
Mailing Address - Street 1:3950 S ROCHESTER RD STE 2250
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5169
Mailing Address - Country:US
Mailing Address - Phone:248-650-8383
Mailing Address - Fax:248-650-4343
Practice Address - Street 1:3950 S ROCHESTER RD STE 2250
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5169
Practice Address - Country:US
Practice Address - Phone:248-650-8383
Practice Address - Fax:248-650-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103TC0700X, 103TC2200X
MI101YM0800X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P58930Medicare PIN