Organization
T&G COPORATION
Active
Other names
The Behavioral Center of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LUKLO-MILLER (CONTROLLER)
(586) 261-2266
Entity
Organization
Contact information
Practice address
4050 E 12 MILE RD, WARREN, MI 48092-2594
(586) 261-2266
(586) 261-3628
Mailing address
4050 E 12 MILE RD, WARREN, MI 48092-2594
(586) 261-2266
(586) 261-3628
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1122005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600100
—
MI
Enumeration date
11/20/2006
Last updated
08/22/2020
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