Organization
ECHOLS SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUFUS LEWIS (VICE PRESIDENT-OPERATIONS)
(248) 353-4729
Entity
Organization
Contact information
Practice address
25701 RAVINE ST, SOUTHFIELD, MI 48033-2256
(248) 353-4729
Mailing address
25701 RAVINE ST, SOUTHFIELD, MI 48033-2256
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS630287634
MI
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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