| NPI | 1548451164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER ANN ST. JOHN Clinical Social Worker 313-916-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: MI 6801086542) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |