Kathy's Maternal Infant Health Program

NPI #1104100411 in Southfield, Michigan

Provider Information

NPI Number
1104100411
Entity Type
Organization
Organization Name
Kathy's Maternal Infant Health Program
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 5, 2011
Last Updated
Oct 5, 2011

Practice Location

Address
18446 WESTHAVEN AVE
ZIP Code
48075-4119
Phone
(248) 320-6992

Authorized Official

Name
KATHERINE ANITA THOMPSON, LLBSW
Title
EXECUTIVE DIRECTOR
Phone
(248) 320-6992

Specialties & Taxonomy Codes

Specialty
Case Management
Early Intervention Provider Agency

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