NPI 1700324548

Biomed Behavioral Health

Organisation PACE Provider Organization Waterford, MI

Practice location

Address: 269 Summit Dr, Waterford, MI 48328-3364
Phone: (248) 706-5041
Mailing address: 727 W Grand Blvd APT. 150, Detroit, MI 48216-2119

Authorised official

Name: Kelly Felicia Hartsfield
Title: Counselor
Phone: (248) 417-0929

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Michigan →

Registry record

NPI: 1700324548
Entity type: Organization
NPI issued: 1 Feb 2017
Record last updated: 1 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.