Organization
JACKSON RAMEY ROGERS DIVERSIFIED SERVICES
Active
Organization
JACKSON RAMEY ROGERS DIVERSIFIED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNELLE D. RAMEY (ADMINISTRATOR)
(248) 242-0536
Entity
Organization
Contact information
Practice address
23731 RADCLIFT ST, OAK PARK, MI 48237-1931
(248) 242-0536
Mailing address
PO BOX 37204, OAK PARK, MI 48237-0204
(242) 242-0536
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS630360466
MI
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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