| NPI | 1326268483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEREASA CORCORAN Chief Administrative Officer 313-745-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: MI 4301086482) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |