CHRIST CHILD SOCIETY OF DETROIT NPI 1831411537

NPI Information

CHRIST CHILD SOCIETY OF DETROIT is a residential treatment facility, intellectual and/or developmental disabilities in Detroit, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CHRIST CHILD SOCIETY OF DETROIT NPI is 1831411537. The provider is registered as an organization entity type.

The provider's business location address is:

15751 JOY RD
DETROIT, MI
ZIP 48228-117
Phone: (313) 584-6077
Fax: (313) 584-1148

The provider's authorized official is Janice Ellen Hines .
The authorized official title is Director Of Finance and has the following contact phone number (313) 584-6077.

The CLIA number assigned to this NPI record is 23D2205401 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2010 and was last updated on 3/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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