NPI 1427867340
Children and Young Adult Services
Practice location
- Address
- 39514 Rockcrest Ln, Northville, MI 48168-3960
- Phone
- (810) 494-1673
- Mailing address
- 47526 Clipper St Unit 1254, Plymouth, MI 48170-7166
Authorised official
- Name
- Jennifer Sibert
- Title
- President
- Phone
- (248) 910-7396
Registered specialties (3)
Voluntary or Charitable Agency
Primary
Health & Wellness Coach
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1427867340
- Entity type
- Organization
- NPI issued
- 6 Jan 2025
- Record last updated
- 6 Jan 2025
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.