| NPI | 1053550996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SARAVOLATZ /Chief/Program Director 313-343-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MI 4301089471) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI 4301089471) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |