# BORN FOR ME LLC

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

## Provider details

- **NPI number:** 1164878294
- **Authorized official:** MRS. EBONY HARVEY-JACKSON LMSW (CEO)
- **Authorized official phone:** (313) 215-6395

## Contact information

- **Practice address:** 19323 STANSBURY ST, DETROIT, MI 48235-1733
- **Practice address phone:** (313) 215-6395
- **Mailing address:** PO BOX 14513, DETROIT, MI 48214-0513
- **Mailing address phone:** (313) 215-6395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6801085319 | MI | Yes |

## Other

- **Enumeration date:** 05/07/2016
- **Last updated:** 05/07/2016