| NPI | 1588685572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE HENRY LENZ Executive Vice President 734-547-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: AZ SH1732) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |