Organization
HAVENWYCK HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1525 UNIVERSITY DR, AUBURN HILLS, MI 48326-2673
(248) 373-9200
(248) 373-4113
Mailing address
1525 UNIVERSITY DR, AUBURN HILLS, MI 48326-2673
(248) 373-9200
(248) 373-4113
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
H-075/2006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
170528921
—
MI
Enumeration date
07/06/2006
Last updated
03/17/2011
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