Organization
ROBERT P. FOSNAUGH PSYCHIATRIC & REHABILITATION CENTER
Active
Organization
ROBERT P. FOSNAUGH PSYCHIATRIC & REHABILITATION CENTER
Active
Other names
Dr. Robert P. Fosnaugh Memorial Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J MENDICKI (CFO)
(248) 360-3770
Entity
Organization
Contact information
Practice address
26755 BALLARD ST, HARRISON TWP, MI 48045-2419
(248) 360-3770
Mailing address
PO BOX 693, WALLED LAKE, MI 48390-0693
(248) 360-3770
(248) 360-3773
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
283Q00000X
Psychiatric Hospital
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
02/18/2014
Last updated
06/20/2014
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