Organization
NEW VISION OF INTEGRATIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA WHITE (ADMINISTRATOR)
(248) 796-8033
Entity
Organization
Contact information
Practice address
3505 WALNUT ST STE C, INKSTER, MI 48141-2952
(248) 976-8033
Mailing address
3505 WALNUT ST STE C, INKSTER, MI 48141-2952
(248) 796-8033
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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