| NPI | 1720355613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGRON MYFTARI Clinical Social Worker 3133-824-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 6801071336) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |