Individual
JASON CHRISTOPHER CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 GLADSTONE ST, DETROIT, MI 48202-1709
(313) 444-6594
Mailing address
22459 ARMSTRONG AVE, BROWNSTOWN, MI 48193-8210
(313) 444-6594
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
AS8200419685
MI
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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