Whalio Doctors

NPI 1164753828

Is-Care Cls, INC.

Organisation Psychiatric Residential Treatment Facility Detroit, MI

Practice location

Address
1777 N Rademacher St, Detroit, MI 48209-2049
Phone
(313) 894-1630
Fax
(313) 894-1648
Mailing address
16524 Rosemont, Detroit, MI 48219

Authorised official

Name
Gwynevere M. Coles
Title
Founder & Director
Phone
(313) 706-7237

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1164753828
Entity type
Organization
NPI issued
20 Jan 2010
Record last updated
16 Jul 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.