Provider Demographics
NPI:1538322607
Name:MENTAL RESOURCES CENTERS, INC.
Entity Type:Organization
Organization Name:MENTAL RESOURCES CENTERS, INC.
Other - Org Name:VIRGINIA HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:R PH, PHARM D
Authorized Official - Phone:734-973-7764
Mailing Address - Street 1:3820 PACKARD ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5000
Mailing Address - Country:US
Mailing Address - Phone:734-973-7764
Mailing Address - Fax:734-973-7897
Practice Address - Street 1:3820 PACKARD ST
Practice Address - Street 2:SUITE 180
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-5000
Practice Address - Country:US
Practice Address - Phone:734-973-7764
Practice Address - Fax:734-973-7897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAL820007554311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home