Whalio Doctors

NPI 1255667366

Salery Afc

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Detroit, MI

Practice location

Address
7387 Kipling St, Detroit, MI 48206-2624
Phone
(131) 870-9545
Fax
(313) 870-9541
Mailing address
PO Box 34384, Detroit, MI 48234-0384

Authorised official

Name
Oscar Salery
Title
Home Provider
Phone
(313) 702-7386

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence AS82094960 (MI)

Registry record

NPI
1255667366
Entity type
Organization
NPI issued
23 Oct 2009
Record last updated
23 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.