Organization
SACRED HEART REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRADY WILKINSON (PRESIDENT CEO)
(810) 392-2167
Entity
Organization
Contact information
Practice address
17131 GITRE ST, DETROIT, MI 48205-3161
(313) 245-4357
(313) 371-6139
Mailing address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
(810) 392-3530
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
823012
MI
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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