MS. VICKIE MCTAW CAC-M NPI 1669703146

NPI Information

NPI: 1669703146
Provider Name: MS. VICKIE MCTAW, CAC-M
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Individual
Address:
2409 CALVERT ST
DETROIT, MI
ZIP 48206
Phone: (313) 869-6905
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MS. Vickie Mctaw, CAC-M is a community based residential treatment facility mental illness in Detroit, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MS. Vickie Mctaw, CAC-M NPI is 1669703146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2409 CALVERT ST
DETROIT, MI
ZIP 48206-533
Phone: (313) 869-6905

The enumeration date for this NPI number is 1/22/2010 and was last updated on 7/21/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness			MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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