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Contact Information

EDUCATING U4 LIFE CDC
19321 W CHICAGO ST
DETROIT, MI48228-1739
 Phone: 877-267-3491
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for EDUCATING U4 LIFE CDC

NPI # 1336674415
LBN Legal business name EDUCATING U4 LIFE CDC
Authorized official ALBERT MACK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2017
Last updated 07/25/2019 - About 7 years ago
Identifiers
MI License # 6801011686
MI License # 6801046708
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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