# THE LANG FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Lang Foundation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215428586
- **Authorized official:** CHARLIE COCHRAN (PRESIDENT)
- **Authorized official phone:** (313) 329-0724

## Contact information

- **Practice address:** 1897 STANLEY BLVD, BIRMINGHAM, MI 48009
- **Practice address phone:** (313) 442-6027
- **Mailing address:** 1897 STANLEY BLVD, BIRMINGHAM, MI 48009-4149
- **Mailing address phone:** (313) 442-6027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 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

- **Enumeration date:** 05/22/2018
- **Last updated:** 07/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1215428586 | — | MI |