Organization
PACE SOUTHEAST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DOVICHI (PROGRAM DIRECTOR)
(313) 269-7744
Entity
Organization
Contact information
Practice address
17401 E 10 MILE RD, EASTPOINTE, MI 48021-1256
(855) 445-4554
Mailing address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
(855) 445-4554
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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