Organization
OPTIMUM ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KEROBO (CEO)
(313) 543-3344
Entity
Organization
Contact information
Practice address
25268 5 MILE RD, REDFORD, MI 48239-3702
(313) 543-3344
Mailing address
4575 WABEEK FOREST DR, BLOOMFIELD HILLS, MI 48302-1782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
10/24/2024
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