OrganizationActive
Guidance Center
NPI 1851500102 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Southgate, MI
Provider details
- NPI number
- 1851500102
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latoya Jackson, Personal Living Assistant(313) 468-7794
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
13101 Allen Rd
Southgate, MI 48195-2216
Phone: (313) 468-7794
Approximate (ZIP-level) locationGet directions
Mailing address
12265 Elmdale
Detroit, MI 48213
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.