# MATRIX HUMAN SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821325176
- **Authorized official:** MR. BRAD COULTURE (C.E.O.)
- **Authorized official phone:** (313) 831-1000

## Contact information

- **Practice address:** 450 ELIOT, DETROIT, MI 48201-2130
- **Practice address phone:** (313) 831-8650
- **Practice address fax:** (313) 831-3611
- **Mailing address:** 120 PARSONS STREET, DETROIT, MI 48201-2002
- **Mailing address phone:** (313) 831-1000
- **Mailing address fax:** (313) 831-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | MI | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2009
- **Last updated:** 06/01/2016