Organization
PSYCHIATRIC INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DIGIUSEPPE (DIRECTOR OF PROGRAMS)
(734) 458-4601
Entity
Organization
Contact information
Practice address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(734) 721-0200
Mailing address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48185
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801087622
MI
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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