| NPI | 1891088175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALITA GHOSH Clinical Social Worker 734-295-4614 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 6801089153) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |