Provider Demographics
NPI:1053699363
Name:YOUNG ADULTS' HEALTH CENTER, INC.
Entity type:Organization
Organization Name:YOUNG ADULTS' HEALTH CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-484-3600
Mailing Address - Street 1:47 N HURON ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2607
Mailing Address - Country:US
Mailing Address - Phone:734-484-3600
Mailing Address - Fax:734-484-3100
Practice Address - Street 1:47 N HURON ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2607
Practice Address - Country:US
Practice Address - Phone:734-484-3600
Practice Address - Fax:734-484-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI771913826Medicaid