Organization
CIRCLE OF LIFE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUNTER (CORPORATE COMPLIANCE OFFICER)
(313) 245-0600
Entity
Organization
Contact information
Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0600
(313) 372-8606
Mailing address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0600
(313) 372-8606
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
4703081326
MI
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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