Organization
RSA FOUNDATION
Active
Organization
RSA FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH PRENTISS (BOARD MEMBER)
(586) 806-6455
Entity
Organization
Contact information
Practice address
23855 LAWRENCE, CENTER LINE, MI 48015
(586) 806-6455
(586) 806-6455
Mailing address
23855 LAWRENCE, CENTER LINE, MI 48015
(586) 806-6455
(586) 806-6455
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192184
—
MI
Enumeration date
03/15/2017
Last updated
03/15/2017
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