Provider Demographics
NPI:1386075968
Name:MUSIC THERAPY ENRICHMENT CENTER, INC.
Entity type:Organization
Organization Name:MUSIC THERAPY ENRICHMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRUMBINE
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:440-250-0091
Mailing Address - Street 1:26040 DETROIT RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2483
Mailing Address - Country:US
Mailing Address - Phone:440-250-0091
Mailing Address - Fax:440-250-0089
Practice Address - Street 1:26040 DETROIT RD STE 3
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2483
Practice Address - Country:US
Practice Address - Phone:440-250-0091
Practice Address - Fax:440-250-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health