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Contact Information

DOWNRIVER MENTAL HEALTH CLINIC PC
20500 EUREKA RD
SUITE 200
TAYLOR, MI48180-6394
 Phone: 734-285-8282
 Fax: 734-281-0402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for DOWNRIVER MENTAL HEALTH CLINIC PC

NPI Number 1295866135
LBN Legal business name DOWNRIVER MENTAL HEALTH CLINIC PC
Authorized official RYAN PARDO - (CHEIF LEGAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 01/15/2025 - More than a year ago
Identifiers
MI Other 7509203930 BCBS SA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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