| NPI | 1700053535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE THERESE VIRGONA Psychiatric Social Worker 248-967-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 6801085127) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |