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Repairer Of The Breach Counseling And Consultant Services, Llc
Adolescent and Children Mental Health Clinic/Center in Detroit, Michigan
NPI 1922571041

Repairer Of The Breach Counseling And Consultant Services, Llc is an Adolescent and Children Mental Health Clinic/Center based in Detroit, MI and is specialized in Adolescent and Children Mental Health. Repairer Of The Breach Counseling And Consultant Services, Llc practices in Detroit, MI. The NPI Number for Repairer Of The Breach Counseling And Consultant Services, Llc is 1922571041 and holds a License No. (Michigan).

The current practice location address for Repairer Of The Breach Counseling And Consultant Services, Llc is 319 Chandler St, Detroit, MI and can be reached out via phone at 313-451-4239.

Location: 319 Chandler St, Detroit, MI, 48202-2857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922571041
Provider Name
Repairer Of The Breach Counseling And Consultant Services, Llc
Credential
Provider Entity Type
Organization
Address
319 Chandler St, Detroit, MI, 48202-2857
Phone Number
313-451-4239
Fax Number
Provider Enumeration Date
01/11/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184962763 01 NPI
institution
Provider Business Practice Location Address Details
Address
319 Chandler St
City
Detroit
State
Michigan
Zip
48202-2857
Phone Number
313-451-4239
Fax Number
person
Provider Business Mailing Address Details
Address
319 Chandler St
City
Detroit
State
Michigan
Zip
48202-2857
Phone Number
313-451-4239
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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