Organization
EASTER SEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KUZAK (CASE MANAGER)
(734) 709-3767
Entity
Organization
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
501 E 14 MILE RD, BIRMINGHAM, MI 48009-2094
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6801092869
MI
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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