Organization
THE EARLY INTERVENTION CENTER
Active
Other names
The EIC
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS ROSE (ACCOUNTANT)
(248) 988-9356
Entity
Organization
Contact information
Practice address
18300 W 12 MILE RD, SOUTHFIELD, MI 48076-2670
(248) 559-5820
(248) 559-5822
Mailing address
32500 TELEGRAPH RD, SUITE 209, BINGHAM FARMS, MI 48025-2461
(248) 988-9356
(248) 723-3341
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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