# AUTHENTIC, INC.

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

## Provider details

- **NPI number:** 1407446826
- **Authorized official:** SONNY LACEY (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (469) 360-3500

## Contact information

- **Practice address:** 30800 TELEGRAPH RD STE 4775, BINGHAM FARMS, MI 48025-4536
- **Practice address phone:** (248) 469-8811
- **Mailing address:** 30800 TELEGRAPH RD STE 4775, BINGHAM FARMS, MI 48025-4536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 01/20/2021