Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH MALINOWSKI M.A. (CLINICAL MANAGER)
31331720002
Entity
Organization
Contact information
Practice address
5111 AUTO CLUB DR, SUITE 112, DEARBORN, MI 48126-2749
(313) 317-2000
(313) 317-2090
Mailing address
5111 AUTO CLUB DR, SUITE 112, DEARBORN, MI 48126-2749
(313) 317-2000
(313) 317-2090
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
61301007362
MI
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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