Organization · Type 2 NPI
Gabriel's Nest Inc
Mental Illness Community Based Residential Treatment Facility · Southfield, MI
NPI number
1376860288
Active
Practice location
17915 Louise St
Southfield, MI 48075-3490
Fax (805) 299-4989
Mailing address
PO Box 250275
West Bloomfield, MI 48325-0275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | AS630299676 (MI) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1376860288
Gabriel's Nest Inc's National Provider Identifier is 1376860288, issued on May 2, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Southfield, MI. The record was last updated on May 2, 2010.