| NPI | 1316152531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE THERESE VIRGONA Psychiatric Social Worker 248-967-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: MI 6801085127) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |