Acc
Organization Active NPI Community/Behavioral Health Agency · Detroit, MI
NPI 1497086664 · NPPES record last updated Jan 27, 2010
Key facts
- NPI
- 1497086664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 4704272539 (MI)
- Legal business name
- ACC
- Practice address
- 62 W 7 Mile Rd
Detroit, MI 48203-1967 - Phone
- (313) 893-6172
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Carmen Sarafa, MA,LPC
- Title
- Deputy Director
- Phone
- (313) 893-6172
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Acc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4704272539 | MI | Yes |
Addresses
Primary practice location
62 W 7 Mile Rd
Detroit, MI 48203-1967
Mailing address
62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone (313) 893-6172
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3434247 | Medicaid | MI |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.