Organization
GEORGETOWN BEHAVIORAL HEALTH INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA HARDY (CORP COMPLIANCE OFFICER)
(248) 905-5091
Entity
Organization
Contact information
Practice address
3101 S. AUSTIN AVENUE, GEORGETOWN, TX 78626
(248) 905-5091
(248) 905-5096
Mailing address
29433 SOUTHFIELD RD, SUITE # 201, SOUTHFIELD, MI 48076-2031
(248) 905-5091
(248) 905-5096
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
04/29/2014
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