Healthcare Provider Details

I. General information

NPI: 1497661789
Provider Name (Legal Business Name): MENTAL HEALTH CLEANING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2052 HOUSTON ST
DEARBORN MI
48124-4128
US

IV. Provider business mailing address

2052 HOUSTON ST
DEARBORN MI
48124-4128
US

V. Phone/Fax

Practice location:
  • Phone: 313-808-2462
  • Fax: 313-808-2462
Mailing address:
  • Phone: 313-808-2462
  • Fax: 313-808-2462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AVA MUNLIN
Title or Position: OWNER
Credential:
Phone: 313-808-2462