Provider Demographics
NPI:1639223852
Name:A.R.E. INC., OF JACKSON
Entity Type:Organization
Organization Name:A.R.E. INC., OF JACKSON
Other - Org Name:JACKSON DROP IN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTORCEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROPP
Authorized Official - Suffix:
Authorized Official - Credentials:CPSS
Authorized Official - Phone:517-788-9166
Mailing Address - Street 1:1009 W MICHIGAN AVE
Mailing Address - Street 2:PO BOX 6324
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-4120
Mailing Address - Country:US
Mailing Address - Phone:517-788-9166
Mailing Address - Fax:
Practice Address - Street 1:1009 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-4120
Practice Address - Country:US
Practice Address - Phone:517-788-9166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services