Provider Demographics
NPI:1588672406
Name:T & G CORPORATION INC
Entity Type:Organization
Organization Name:T & G CORPORATION INC
Other - Org Name:THE BEHAVIORAL CENTER OF MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNABALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-261-2266
Mailing Address - Street 1:4050 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2534
Mailing Address - Country:US
Mailing Address - Phone:586-261-2266
Mailing Address - Fax:586-261-3628
Practice Address - Street 1:4050 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-2534
Practice Address - Country:US
Practice Address - Phone:586-261-2266
Practice Address - Fax:586-261-3628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:T & G CORPORATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-04
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI234042Medicare Oscar/Certification