NPI 1063786168

Adolescence in Motion

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Birmingham, MI

Practice location

Address: 237 N Old Woodward Ave STE 5, Birmingham, MI 48009-5305
Phone: (248) 723-7152

Authorised official

Name: Jehan Crump-Gibson
Title: Vice President
Phone: (313) 205-3295

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1063786168
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 7 Mar 2012

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.