Carole Elyse Dix, LMSW Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Detroit, MI
- NPI
- 1265602288
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- License number
- 6801034135 (MI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-03-05
- Last updated
- 2008-03-05
Practice location
4646 John R St
Detroit, MI 48201-1916
(315) 676-1555