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Organization
THE LANG FOUNDATION
Active
Organization
THE LANG FOUNDATION
Active
Other names
The Lang Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE COCHRAN (PRESIDENT)
(313) 329-0724
Entity
Organization
Contact information
Practice address
1897 STANLEY BLVD, BIRMINGHAM, MI 48009
(313) 442-6027
Mailing address
1897 STANLEY BLVD, BIRMINGHAM, MI 48009-4149
(313) 442-6027
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM3000X
Medically Fragile Infants and Children Day Care
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215428586
—
MI
Enumeration date
05/22/2018
Last updated
07/17/2018
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