Organization
PATRICK DEVELOPMENT INC
Active
Other names
The Patrick Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL PATRICK (HOME PROVIDER)
(313) 341-2827
Entity
Organization
Contact information
Practice address
17133 MENDOTA ST, DETROIT, MI 48221-2306
(313) 283-8494
(248) 796-7831
Mailing address
19785 W 12 MILE RD STE 42, SOUTHFIELD, MI 48076-2584
(313) 436-6117
(248) 796-7831
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS820068122
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
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Other
Enumeration date
10/27/2006
Last updated
05/16/2024
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