OrganizationActive
Excelsior Home 1 Inc.
NPI 1891917191 · Mental Illness Community Based Residential Treatment Facility · Detroit, MI
Provider details
- NPI number
- 1891917191
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Davis, Administrator(313) 874-5404
Specialties & taxonomies
Residential Treatment Facilities
Practice location
129 Virginia Park
Detroit, MI 48202
Phone: (313) 874-5594
Fax: (248) 208-0024
Approximate (ZIP-level) locationGet directions
Mailing address
P.o.box 11387
Detroit, MI 48202
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.