| NPI | 1902261027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEN RAE BOROFF Clinical Social Worker 734-222-7476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NC C009254) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NC 16062) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |