Organization
FIRSTPLAN MATERNAL INFANT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH EMANUEL HINES LMSW (DIRECTOR)
(248) 835-9700
Entity
Organization
Contact information
Practice address
48795 MICHAYWE DR, MACOMB, MI 48044-2308
(248) 835-9700
Mailing address
48795 MICHAYWE DR, MACOMB, MI 48044-2308
(248) 835-9700
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
6801087640
MI
251S00000X
Community/Behavioral Health Agency
6801087640
MI
252Y00000X
Early Intervention Provider Agency
Primary
6801087640
MI
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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