ST. JOHN PROVIDENCE MACOMB/OAKLAND NPI 1477846293

NPI Information

ST. JOHN PROVIDENCE MACOMB/OAKLAND is a psychiatric hospital in Warren, MI. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. ST. JOHN PROVIDENCE MACOMB/OAKLAND NPI is 1477846293. The provider is registered as an organization entity type.

The provider's business location address is:

11800 E 12 MILE RD
WARREN, MI
ZIP 48093-472
Phone: (585) 573-5300

The provider's authorized official is Bal K Gupta .
The authorized official title is Director Of Behaviorial Medicine and has the following contact phone number (586) 573-5300.

The enumeration date for this NPI number is 5/26/2011 and was last updated on 5/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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