Provider Demographics
NPI:1033698477
Name:CASON ADULT DAY PROGRAM INC
Entity Type:Organization
Organization Name:CASON ADULT DAY PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEGBADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-826-1430
Mailing Address - Street 1:24865 5 MILE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3694
Mailing Address - Country:US
Mailing Address - Phone:248-721-5164
Mailing Address - Fax:313-255-2101
Practice Address - Street 1:8200 ROLYAT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3358
Practice Address - Country:US
Practice Address - Phone:248-721-5164
Practice Address - Fax:313-255-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health