| NPI | 1932348877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CHESNEY Residency Program Coordinator 313-577-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: MI 4301093190) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |