Organization · Type 2 NPI
Jackson Ramey Rogers Diversified Services
Mental Illness Community Based Residential Treatment Facility · Oak Park, MI
NPI number
1306230875
Active
Practice location
23731 Radclift St
Oak Park, MI 48237-1931
Mailing address
PO Box 37204
Oak Park, MI 48237-0204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | AS630360466 (MI) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
Other mental illness community based residential treatment facility providers in Oak Park
About NPI 1306230875
Jackson Ramey Rogers Diversified Services's National Provider Identifier is 1306230875, issued on Mar 23, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Oak Park, MI. The record was last updated on Mar 23, 2015.