NPI 1164837431

Common Ground

Organisation Psychiatric Residential Treatment Facility Pontiac, MI

Practice location

Address: 1200 Telegraph Rd, Pontiac, MI 48341
Phone: (248) 541-3522
Mailing address: 1200 N Telegraph Rd, Pontiac, MI 48341-1032

Authorised official

Name: Lorrayne Carless
Title: Manager
Phone: (586) 995-3861

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 4704157745 (MI)

Other Psychiatric Residential Treatment Facility providers in Michigan →

Registry record

NPI: 1164837431
Entity type: Organization
NPI issued: 25 Jun 2014
Record last updated: 25 Jun 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.