Organization
IVYREHAB MICHIGAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GRIFFITHS (DIRECTOR OF PAYER RELATIONS)
(914) 294-4050
Entity
Organization
Contact information
Practice address
12319 HIGHLAND RD STE 501, HARTLAND, MI 48353-2946
(810) 991-1211
(810) 991-1656
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 265-4582
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
02/22/2023
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