Organization
SERVICES TO ENHANCE POTENTIAL
Active
Other names
Wayne County Association for the Retarded
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELIZABETH VALASCO CPA (CEHIF FINANCIAL OFFICER)
(313) 278-3040
Entity
Organization
Contact information
Practice address
2941 S GULLEY RD, DEARBORN, MI 48124-3160
(313) 278-3040
Mailing address
2941 S GULLEY RD, DEARBORN, MI 48124-3160
(313) 278-3040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616746
—
MI
Enumeration date
08/30/2006
Last updated
09/11/2025
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