Organization
TRIANGLE INDUSTRIES INC
Active
Organization
TRIANGLE INDUSTRIES INC
Active
Other names
Circle of Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOSEPH POWELL (HOSPITAL PRESIDENT)
(313) 245-0625
Entity
Organization
Contact information
Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0600
(313) 372-8657
Mailing address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0600
(313) 372-8657
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
H-11/2004 (2)
MI
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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