NPI | 1164305744 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIE HYDEN Finance/Revenue Cycle Manager 313-308-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-08-21 |