Whalio Doctors

NPI 1053798033

Shar, INC

Organisation Mental Illness Community Based Residential Treatment Facility Detroit, MI

Practice location

Address
1852 West Grand Blvd, Detroit, MI 48208
Phone
(313) 894-8444
Mailing address
1852 W Grand Blvd, Detroit, MI 48208-1006

Authorised official

Name
Dwight Vaughter
Title
Ceo
Phone
(313) 894-8444

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence L528696 (MI)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence L528696 (MI)

Registry record

NPI
1053798033
Entity type
Organization
NPI issued
29 Apr 2015
Record last updated
29 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.