| Easter Seals | |
|
24445 Northwestern Hwy Suite 100 Southfield MI 48075-6501 | |
| (248) 483-7804 | |
| (248) 483-7868 |
| Full Name | Easter Seals |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24445 Northwestern Hwy, Southfield, Michigan |
| Authorized Official Name and Position | Shayla Glass (BEHAVIORAL HEALTH CLINICIAN) |
| Authorized Official Contact | 2487632399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals 24445 Northwestern Hwy Suite 100 Southfield MI 48075-6501 Ph: () - | Easter Seals 24445 Northwestern Hwy Suite 100 Southfield MI 48075-6501 Ph: (248) 483-7804 |
| NPI Number | 1376968461 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376968461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301015758 (Michigan) | Primary |
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