| Easter Seals-michigan, Inc | |
|
1010 E West Maple Rd Ste 100 Walled Lake MI 48390-3571 | |
| (248) 313-2900 | |
| (248) 313-2905 |
| Full Name | Easter Seals-michigan, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1010 E West Maple Rd Ste 100, Walled Lake, Michigan |
| Authorized Official Name and Position | Brent Wirth (PRESIDENT & CEO) |
| Authorized Official Contact | 2484756300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals-michigan, Inc 2399 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (248) 475-6300 | Easter Seals-michigan, Inc 1010 E West Maple Rd Ste 100 Walled Lake MI 48390-3571 Ph: (248) 313-2900 |
| NPI Number | 1851686620 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 10/01/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851686620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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