Whalio Doctors

NPI 1336498013

Genesys Hillside Behavioral Services

Organisation Psychiatric Hospital Grand Blanc, MI

Practice location

Address
4396 Meadows Ave, Grand Blanc, MI 48439-8689
Phone
(810) 513-2390
Fax
(810) 579-7222

Authorised official

Name
Purna Surapaneni
Title
Medical Director
Phone
(810) 424-2400

Registered specialties

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 6801081184 (MI)

Registry record

NPI
1336498013
Entity type
Organization
NPI issued
10 Sep 2012
Record last updated
10 Sep 2012

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.