Downriver Mental Health Clinic PC

NPI #1104930130 in Taylor, Michigan

Provider Information

NPI Number: 1104930130
Entity Type: Organization
Organization Name: Downriver Mental Health Clinic PC
Primary Specialty: Psychologist
Enumeration Date: Aug 18, 2006
Last Updated: Mar 1, 2024

Practice Location

Address: 20500 EUREKA RD
Address 2: SUITE 200
City: Taylor
State: Michigan
ZIP Code: 48180-6394
Phone: (734) 285-8282

Authorized Official

Name: RYAN PARDO
Title: CHIEF LEGAL OFFICER
Phone: (206) 399-1493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Psychologist	103T00000X	Primary

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