Judson Center, INC.
Community/Behavioral Health in Royal Oak, MI. Organization (NPI-2).
NPI number1033264890
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1033264890
- Entity type
- Organization (NPI-2)
- Legal business name
- Judson Center, INC.
- Organization subpart
- No
- Enumeration date
- Jan 24, 2007
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | MI | Yes |
| 251B00000X | Case Management | 6772767 | MI | |
| 251B00000X | Case Management | 6359520 | MI | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | MI | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | MI | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | MI | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | MI | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | MI | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | MI | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | MI |
Other names
- Detroit Baptist Children'S Home (Former Legal Business Name)
Practice location
4410 W 13 Mile RdRoyal Oak, MI 48073-6515
Phone 248-549-4339 · Fax 248-549-8955
Mailing address
4410 W 13 Mile RdRoyal Oak, MI 48073-6515
Phone 248-549-4339 · Fax 248-549-8955
Authorized official
Laura Hout
Chief Operating Officer
2485494339
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