NPI 1306230875

Jackson Ramey Rogers Diversified Services

Organisation Mental Illness Community Based Residential Treatment Facility Oak Park, MI

Practice location

Address: 23731 Radclift St, Oak Park, MI 48237-1931
Phone: (248) 242-0536
Mailing address: PO Box 37204, Oak Park, MI 48237-0204

Authorised official

Name: Donnelle D. Ramey
Title: Administrator
Phone: (248) 242-0536

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence AS630360466 (MI)

Other Community Based Residential Treatment Facility, Mental Illness providers in Michigan →

Registry record

NPI: 1306230875
Entity type: Organization
NPI issued: 23 Mar 2015
Record last updated: 23 Mar 2015

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.