| Easter Seals Michigan | |
|
2387 E Walton Blvd Auburn Hills MI 48326-1955 | |
| (248) 475-6300 | |
| Not Available |
| Full Name | Easter Seals Michigan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2387 E Walton Blvd, Auburn Hills, Michigan |
| Authorized Official Name and Position | Angela D. Powell Medlock (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 2484756300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Michigan 2387 E Walton Blvd Auburn Hills MI 48326-1955 Ph: () - | Easter Seals Michigan 2387 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (248) 475-6300 |
| NPI Number | 1164721890 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164721890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1041C0700X (Michigan) | Primary |
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