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Organization

DEVELOPMENT CENTERS, INC.

Active
Parent organization
DEVELOPMENT CENTERS, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEVELOPMENT CENTERS, INC.
Authorized official
CATHERINE LOUISE LIESMAN PHD (CHIEF EXECUTIVE OFFICER)
(313) 531-2500
Entity
Organization

Contact information

Practice address
17321 TELEGRAPH RD, DETROIT, MI 48219
(313) 531-2500
(313) 255-3471
Mailing address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
(313) 531-2500
(313) 255-3471

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024951
MIDWEST HEALTH PLAN
MI
01
260Q276040
BCBS - DOCTOR GROUP
MI
01
750910508
BCBSM STATE EMPL CHILD
MI
01
750910618
BCBSM STATE EMPL ADULT
MI
01
800H217310
BCBS - CSW GROUP
MI
01
P94406
BLUE CARE NETWORK
MI
Enumeration date
05/27/2008
Last updated
07/24/2018
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