NPI 1104331776

Echols Support Services, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Southfield, MI

Practice location

Address: 25701 Ravine St, Southfield, MI 48033-2256
Phone: (248) 353-4729

Authorised official

Name: Brufus Lewis
Title: Vice President-Operations
Phone: (248) 353-4729

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence AS630287634 (MI)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1104331776
Entity type: Organization
NPI issued: 5 Dec 2017
Record last updated: 5 Dec 2017

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.