Organization
CHRIST CHILD SOCIETY OF DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ELLEN HINES (DIRECTOR OF FINANCE)
(313) 584-6077
Entity
Organization
Contact information
Practice address
15751 JOY RD, DETROIT, MI 48228-2117
(313) 584-6077
(313) 584-1148
Mailing address
15751 JOY RD, DETROIT, MI 48228-2117
(313) 584-6077
(313) 584-1148
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
CI820201063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2765915
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH - MEDICAL SERVICES ADMINISTRATION
MI
Enumeration date
02/22/2010
Last updated
03/21/2013
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