NPI 1104249374
Common Ground
Practice location
- Address
- 1410 Telegraph Road, Pontiac, MI 48332
- Phone
- (248) 341-3780
- Mailing address
- 34971 Aquarius Dr, Sterling Heights, MI 48310-5633
Authorised official
- Name
- Emily Suzanne Prellberg
- Title
- Registered Nurse
- Phone
- (248) 554-5818
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1104249374
- Entity type
- Organization
- NPI issued
- 24 Jan 2014
- Record last updated
- 24 Jan 2014
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.