Organization
MIZPAH GROUP HOME INC
Active
Organization
MIZPAH GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO KEVIN MORGAN SR. M.S. (DIRECTOR)
(248) 796-2639
Entity
Organization
Contact information
Practice address
24375 LAFAYETTE CIR, SOUTHFIELD, MI 48075-2560
(248) 796-2639
(248) 796-2639
Mailing address
24375 LAFAYETTE CIR, SOUTHFIELD, MI 48075-2560
(248) 796-2639
(248) 796-2639
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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