| NPI | 1659385334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LARAIA VP Ancillary Services 231-392-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-04-01 |