Carole Elyse Dix in Detroit - Psychiatric Residential Treatment Facility

Carole Elyse Dix - NPI 1265602288

Carole Elyse Dix is a Psychiatric Residential Treatment Facility in Detroit, Michigan. Carole Elyse Dix practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Carole Elyse Dix is 1265602288. The last update date is 2008-03-05.

Carole Elyse Dix's current location address is 4646 John R St, Detroit, Michigan. You can contact this provider via phone number 3156761555 and fax number 3135761570. The mailing address for Carole Elyse Dix is 4646 John R St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Carole Elyse Dix
Address 4646 John R St, Detroit, Michigan
Phone Number 3156761555
Fax Number 3135761570
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1265602288
Provider Enumeration Date 2008-03-05
Last Updated Date 2008-03-05

Provider Mailing Address Detail

Address 4646 John R St
City Detroit
State Michigan (MI)
Post Code 482011916
Phone Number 3156761555
Fax Number 3135761570

Provider's Primary Taxonomy Detail

Speciality Psychiatric Residential Treatment Facility
Taxonomy 323P00000X
Licence No 6801034135
Definition:
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps

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FAQs about Carole Elyse Dix

What is the Carole Elyse Dix's 1265602288?

The Carole Elyse Dix's NPI (National Provider Identifier) Number is 1265602288. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Carole Elyse Dix's facilities are situated?

The facilities of Carole Elyse Dix are physically located at the following address: 4646 John R St, Detroit, MI, 482011916.

What is Carole Elyse Dix's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carole Elyse Dix's specialized field of practice is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this area of specialization is 323P00000X.

On what date did the Carole Elyse Dix receive the assignment of its 1265602288 from the Centers for Medicare & Medicaid Services?

The Carole Elyse Dix was issued its 1265602288 by the Centers for Medicare & Medicaid Services on 2008-03-05.

When was the information regarding Carole Elyse Dix most recently updated?

The details pertaining to the Carole Elyse Dix, including its address, specialty, and other relevant information, were last refreshed on 2008-03-05.

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