Vista Maria Good Shepherd
NPI #1497928816 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1497928816
- Entity Type
- Organization
- Organization Name
- Vista Maria Good Shepherd
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 7, 2008
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 20651 WEST WARREN
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48127
- Phone
- (313) 271-3050
Authorized Official
- Name
- LATONYA HOWARD
- Title
- PROGRAM MANAGER
- Phone
- (313) 271-3050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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