Organization
STATE OF MICHIGAN
Active
Organization
STATE OF MICHIGAN
Active
Other names
Center for Forensic Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PITTMAN (REIMBURSEMENT OFFICE)
(734) 295-4590
Entity
Organization
Contact information
Practice address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4590
Mailing address
8303 PLATT RD, SALINE, MI 48176-9773
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
A154961
MI
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
05/20/2006
Last updated
05/10/2019
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