Organization
CRIBS AND BIBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DAYS (CEO)
(313) 595-7266
Entity
Organization
Contact information
Practice address
19639 W 12 MILE RD, APT 203, SOUTHFIELD, MI 48076-2550
(313) 595-7266
Mailing address
19639 W 12 MILE RD, APT 203, SOUTHFIELD, MI 48076-2550
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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