NPI 1104100411

Kathy's Maternal Infant Health Program

Organisation Early Intervention Provider Agency Southfield, MI

Practice location

Address: 18446 Westhaven Ave, Southfield, MI 48075-4119
Phone: (248) 320-6992
Fax: (866) 396-4055

Authorised official

Name: Katherine Anita Thompson
Title: Executive Director
Phone: (248) 320-6992

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 6802085964 (MI)

Other Early Intervention Provider Agency providers in Michigan →

Case Management Agency

Agencies Taxonomy 251B00000X Licence 6802085964 (MI)

Other Case Management providers in Michigan →

Registry record

NPI: 1104100411
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

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.