Whalio Doctors

NPI 1518110386

Don Bosco Hall

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Detroit, MI

Practice location

Address
10001 Petoskey Ave, Detroit, MI 48204-3908
Phone
(313) 834-8677

Authorised official

Name
Charles Small
Title
Executive Diection
Phone
(313) 834-8677

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence C1820201096 (MI)

Registry record

NPI
1518110386
Entity type
Organization
NPI issued
24 Oct 2008
Record last updated
24 Oct 2008

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.