NPI 1003485830
Pace Southeast Michigan
Practice location
- Address
- 17401 E 10 Mile Rd, Eastpointe, MI 48021-1256
- Phone
- (855) 445-4554
- Mailing address
- 21700 Northwestern Hwy, Southfield, MI 48075-4906
Authorised official
- Name
- Bryan Dovichi
- Title
- Program Director
- Phone
- (313) 269-7744
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1003485830
- Entity type
- Organization
- NPI issued
- 24 Jun 2021
- Record last updated
- 24 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.