Individual provider · Type 1 NPI
Vickie McTaw, CAC-M
Mental Illness Community Based Residential Treatment Facility · Detroit, MI
NPI number
1669703146
Active
Practice location
2409 Calvert St
Detroit, MI 48206-1533
Mailing address
35390 Van Born Rd Apt 303
Wayne, MI 48184-3317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
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.
2 other providers at this address
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About NPI 1669703146
Vickie McTaw, CAC-M's National Provider Identifier is 1669703146, issued on Jan 22, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Detroit, MI. The record was last updated on Jul 21, 2022.