NPI 1306232632

Jackson County Youth Center

Organisation Early Intervention Provider Agency Jackson, MI

Practice location

Address: 930 Fleming Ave, Jackson, MI 49202-2534
Phone: (517) 788-4460
Fax: (517) 788-4661

Authorised official

Name: Geremy C Burns
Title: Director
Phone: (517) 768-2778

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence CO380201204 (MI)

Other Early Intervention Provider Agency providers in Michigan →

Registry record

NPI: 1306232632
Entity type: Organization
NPI issued: 14 Apr 2015
Record last updated: 14 Apr 2015

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.