Organization
RISING STARS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M PRENTISS (SUPERINTENDENT)
(586) 405-9473
Entity
Organization
Contact information
Practice address
23855 LAWRENCE, CENTER LINE, MI 48015-1083
(586) 806-6455
(586) 806-6967
Mailing address
23855 LAWRENCE, CENTER LINE, MI 48015-1083
(586) 806-6455
(586) 806-6967
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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