# ADOLESCENCE IN MOTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063786168
- **Authorized official:** JEHAN CRUMP-GIBSON (VICE PRESIDENT)
- **Authorized official phone:** (313) 205-3295

## Contact information

- **Practice address:** 237 N OLD WOODWARD AVE STE 5, BIRMINGHAM, MI 48009-5305
- **Practice address phone:** (248) 723-7152
- **Mailing address:** 237 N OLD WOODWARD AVE STE 5, BIRMINGHAM, MI 48009-5305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 03/07/2012