# AUTISM SERVICES NORTH

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

## Provider details

- **NPI number:** 1487941837
- **Authorized official:** MR. PAUL ESCHBACH (BCBA)
- **Authorized official phone:** (800) 306-8602

## Contact information

- **Practice address:** 5 RIDGEMONT CT, DEARBORN, MI 48124-1222
- **Practice address phone:** (313) 414-9969
- **Mailing address:** 5 RIDGEMONT CT, DEARBORN, MI 48124-1222
- **Mailing address phone:** (313) 414-9969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011