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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