| Easter Seals | |
|
22170 W 9 Mile Rd Southfield MI 48033-6007 | |
| (248) 372-6800 | |
| Not Available |
| Full Name | Easter Seals |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22170 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Jennifer Marie Lucido (EVIDENCE BASED PRACTICE COORDINATOR) |
| Authorized Official Contact | 5868551182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals 22170 W 9 Mile Rd Southfield MI 48033-6007 Ph: (248) 372-6800 | Easter Seals 22170 W 9 Mile Rd Southfield MI 48033-6007 Ph: (248) 372-6800 |
| NPI Number | 1477821502 |
|---|---|
| Provider Enumeration Date | 12/03/2011 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477821502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401011529 (Michigan) | Primary |
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