# MOMMY AND BABY PROGRAM

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

## Provider details

- **NPI number:** 1710877220
- **Authorized official:** MS. CASSANDRA JOY MILLER LLBSW (SOCIAL WORKER/COORDINATOR)
- **Authorized official phone:** (734) 309-5436

## Contact information

- **Practice address:** 25937 WILD FLOWER LN, FLAT ROCK, MI 48134-9075
- **Practice address phone:** (734) 309-5436
- **Mailing address:** 25937 WILD FLOWER LN, FLAT ROCK, MI 48134-9075
- **Mailing address phone:** (734) 309-5436

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025