# PR KIDS

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

## Provider details

- **NPI number:** 1477005924
- **Authorized official:** ELIZABETH SHANNON PIERSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (586) 855-9676

## Contact information

- **Practice address:** 18223 MCINTYRE ST, DETROIT, MI 48219-2366
- **Practice address phone:** (586) 855-9676
- **Mailing address:** 12679 LONGTIN ST, SOUTHGATE, MI 48195-1770
- **Mailing address phone:** (586) 855-9676

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2016
- **Last updated:** 11/01/2016