Provider Demographics
NPI:1831300227
Name:PEOPLE COMMUNITY SERVICES
Entity Type:Organization
Organization Name:PEOPLE COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVENAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-554-3111
Mailing Address - Street 1:412 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48216-1412
Mailing Address - Country:US
Mailing Address - Phone:313-554-3111
Mailing Address - Fax:313-554-3113
Practice Address - Street 1:412 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48216-1412
Practice Address - Country:US
Practice Address - Phone:313-554-3111
Practice Address - Fax:313-554-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health