OrganizationActive
Jackson Ramey Rogers Diversified Services
NPI 1306230875 · Mental Illness Community Based Residential Treatment Facility · Oak Park, MI
Provider details
- NPI number
- 1306230875
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Donnelle Ramey, Administrator(248) 242-0536
- License
- AS630360466 (MI)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AS630360466 (MI)
Residential Treatment Facilities
Practice location
23731 Radclift St
Oak Park, MI 48237-1931
Phone: (248) 242-0536
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 37204
Oak Park, MI 48237-0204
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2015-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.