| NPI | 1629108766 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DOLORES MATTOX Registered Nurse 248-545-7086 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 4704125356) | 
| Enumeration Date | 2007-03-07 | 
| Last Update Date | 2020-08-22 |