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Payton Jackson III
Community/Behavioral Health Agency in Detroit, Michigan
NPI 1609316777

Payton Jackson III is a Community/Behavioral Health Agency based in Detroit, MI. Payton Jackson III practices in Detroit, MI. The NPI Number for Payton Jackson III is 1609316777 and holds a License No. 251S00000X (Michigan).

The current practice location address for Payton Jackson III is 445 Ledyard St, Detroit, MI and can be reached out via phone at 313-962-9446 and via fax at 313-962-6395.

Location: 445 Ledyard St, Detroit, MI, 48201-2641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609316777
Provider Name
Payton Jackson III
Credential
Provider Entity Type
Individual
Gender
Male
Address
445 Ledyard St, Detroit, MI, 48201-2641
Phone Number
313-962-9446
Fax Number
313-962-6395
Provider Enumeration Date
03/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
445 Ledyard St
City
Detroit
State
Michigan
Zip
48201-2641
Phone Number
313-962-9446
Fax Number
313-962-6395
person
Provider Business Mailing Address Details
Address
445 Ledyard St
City
Detroit
State
Michigan
Zip
48201-2641
Phone Number
313-962-9446
Fax Number
313-962-6395
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
251S00000X (Michigan)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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