NPI 1477846293
St. John Providence Macomb/Oakland
Practice location
- Address
- 11800 E 12 Mile Rd, Warren, MI 48093-3472
- Phone
- (585) 573-5300
Authorised official
- Name
- Bal K Gupta
- Title
- Director of Behaviorial Medicine
- Phone
- (586) 573-5300
Registered specialties (2)
Psychiatric Hospital
Primary
Psychiatric Hospital
Registry record
- NPI
- 1477846293
- Entity type
- Organization
- NPI issued
- 26 May 2011
- Record last updated
- 26 May 2011
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.