OrganizationActive
Heaven'S Angels Residential Services
NPI 1740727338 · Mental Illness Community Based Residential Treatment Facility · Garden City, MI
Provider details
- NPI number
- 1740727338
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mia White, Executive Director(734) 742-5404
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense AS820381239 (MI)
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense AS820381239 (MI)
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
30120 Ford Rd Ste C
Garden City, MI 48135-2396
Phone: (734) 742-5404
Fax: (888) 325-1688
Approximate (ZIP-level) locationGet directions
Mailing address
12245 Beech Daly Rd
Redford, MI 48240-3200
Registry dates
- Enumerated
- 2017-01-20
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.