Whalio Doctors

NPI 1174720080

St Joseph Mercy Hospital

Organisation Substance Use Disorder Rehabilitation Hospital Unit Ypsilanti, MI

Practice location

Address
5401 McAuley Drive, Ypsilanti, MI 48197-1011
Phone
(734) 712-3456
Mailing address
34505 W 12 Mile Rd STE 200, Farmington Hills, MI 48331-3286

Authorised official

Name
Michael P Gusho
Title
Cfo SE Mi Region
Phone
(248) 858-6174

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary
Hospital Units Taxonomy 276400000X Licence 810349 (MI)

Registry record

NPI
1174720080
Entity type
Organization
NPI issued
3 Jul 2007
Record last updated
5 Oct 2017

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.