Provider Demographics
NPI:1386937316
Name:CALYX HUMAN SERVICES INC.
Entity type:Organization
Organization Name:CALYX HUMAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ASBERRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:734-347-2265
Mailing Address - Street 1:49217 MORNING GLORY DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1840
Mailing Address - Country:US
Mailing Address - Phone:586-949-5393
Mailing Address - Fax:586-329-3095
Practice Address - Street 1:26051 ROSS ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-3295
Practice Address - Country:US
Practice Address - Phone:313-914-7281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS8205441320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities