Organization
GUIDANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA RENEE JACKSON (PERSONAL LIVING ASSISTANT)
(313) 468-7794
Entity
Organization
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(313) 468-7794
Mailing address
12265 ELMDALE, DETROIT, MI 48213
(313) 468-7794
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
08/12/2008
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