Organization
LIFT UP A CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ROSCOE (CEO)
(888) 787-8725
Entity
Organization
Contact information
Practice address
15374 EVERGREEN AVE, EASTPOINTE, MI 48021-1519
(313) 686-9845
Mailing address
15374 EVERGREEN AVE, EASTPOINTE, MI 48021-1519
(313) 686-9845
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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