| Organization Name: | PSYCHIATRIC SERVICES OF GROSSE POINTE |
| NPI Number: | 1639228000 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAN G GUYER (DIRECTOR) |
| Mailing Address: | 131 Kercheval Ave 390 Grosse Pointe Farms |
| State: | MI US |
| Postal Code: | 482363629 |
| Phone Number: | 3138850052 |
| Fax Number: | 3138856807 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 02/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801076906 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |