Provider Demographics
NPI:1386748853
Name:SPAULDING FOR CHILDREN
Entity type:Organization
Organization Name:SPAULDING FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ADDIE
Authorized Official - Middle Name:DELANE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW CLINICAL MACRO
Authorized Official - Phone:248-443-7080
Mailing Address - Street 1:16250 NORTHLAND DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:248-443-7080
Mailing Address - Fax:248-443-7099
Practice Address - Street 1:16250 NORTHLAND DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-443-7080
Practice Address - Fax:248-443-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1612OtherCOMMUNITY MENTAL HEALTH