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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