| NPI | 1447616354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY GRAY Director 313-910-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: MI 6801081946) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: MI 0) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2022-07-21 |