Organization
MIRACLES FOR MOM'S AND BABES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA YULONDA ASHLEY LBSW, MA (COORDINATOR)
(248) 432-7385
Entity
Organization
Contact information
Practice address
31843 KINGSWOOD SQ, FARMINGTON HILLS, MI 48334-1221
(313) 289-2637
Mailing address
31843 KINGSWOOD SQ, FARMINGTON HILLS, MI 48334-1221
(313) 289-2637
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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