| NPI | 1912059098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYME S THOMPSON Program Support Assistant 734-845-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 6801083874) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-02-26 |