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Elizabeth W. Borg Phd Dsc Pc
Adult Mental Health Clinic/Center in Plymouth, Michigan
NPI 1871788331

Elizabeth W. Borg Phd Dsc Pc is an Adult Mental Health Clinic/Center based in Canton, MI and is specialized in Adult Mental Health. Elizabeth W. Borg Phd Dsc Pc practices in Plymouth, MI. The NPI Number for Elizabeth W. Borg Phd Dsc Pc is 1871788331 and holds a License No. 6301008127 (Michigan).

The current practice location address for Elizabeth W. Borg Phd Dsc Pc is 580 Forest Ave Ste 1B, Plymouth, MI and can be reached out via phone at 734-453-2207.

Location: 580 Forest Ave Ste 1B, Plymouth, MI, 48187-5480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871788331
Provider Name
Elizabeth W. Borg Phd Dsc Pc
Credential
Provider Entity Type
Organization
Address
580 Forest Ave Ste 1B, Plymouth, MI, 48187-5480
Phone Number
734-453-2207
Fax Number
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952420168 01 NPI--SOLE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
580 Forest Ave Ste 1B
City
Plymouth
State
Michigan
Zip
48170-1780
Phone Number
734-453-2207
Fax Number
person
Provider Business Mailing Address Details
Address
580 Forest Ave Ste 1B
City
Plymouth
State
Michigan
Zip
48170-1780
Phone Number
734-453-2207
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
6301008127 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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