Provider Demographics
NPI:1720428873
Name:MCCALL ED SERVICES
Entity Type:Organization
Organization Name:MCCALL ED SERVICES
Other - Org Name:MCCALL FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:R
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-729-3329
Mailing Address - Street 1:22681 WOODWARD AVE
Mailing Address - Street 2:UNIT# 20097
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-7057
Mailing Address - Country:US
Mailing Address - Phone:313-384-0842
Mailing Address - Fax:313-368-1621
Practice Address - Street 1:7045 CURTIS ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2631
Practice Address - Country:US
Practice Address - Phone:313-297-1697
Practice Address - Fax:313-368-1621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management