ST JOHN PROVIDENCE HEALTH SYSTEMS

DETROIT, MI
NPI1770821795
Entity TypeOrganization
Authorized ContactCYNTHIA ELIZABETH WILLIAMS
Therapist
313-368-4267
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2013-01-25
Last Update Date2013-01-25
Business Address
ST JOHN PROVIDENCE HEALTH SYSTEMS
1150 LANTZ ST
DETROIT, MI 48203
Phone number: 313-368-4267
Mailing Address
ST JOHN PROVIDENCE HEALTH SYSTEMS
1150 E LANTZ ST
DETROIT, MI 48203-1376
Phone number: 313-368-4267