NPI 1265602288

Carole Elyse Dix, LMSW

Practitioner Psychiatric Residential Treatment Facility Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (315) 676-1555
Fax: (313) 576-1570

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 6801034135 (MI)

Other Psychiatric Residential Treatment Facility providers in Michigan →

Registry record

NPI: 1265602288
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2008
Record last updated: 5 Mar 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.