Organization · Type 2 NPI

Execu-Tech Manor

Community/Behavioral Health Agency · Detroit, MI

NPI number 1366528747 Active

Practice location

2751 E Jefferson Ave, Suite 500
Detroit, MI 48207-4180

Call (313) 396-0100 Map

Fax (313) 396-0105

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XL796463 (MI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1366528747

Execu-Tech Manor's National Provider Identifier is 1366528747, issued on Oct 28, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 22, 2020.