| NPI | 1336498013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURNA SURAPANENI Medical Director 810-424-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 6801081184) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |