Organization
MATRIX HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD COULTURE (C.E.O.)
(313) 831-1000
Entity
Organization
Contact information
Practice address
450 ELIOT, DETROIT, MI 48201-2130
(313) 831-8650
(313) 831-3611
Mailing address
120 PARSONS STREET, DETROIT, MI 48201-2002
(313) 831-1000
(313) 831-4634
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MI
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/06/2009
Last updated
06/01/2016
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