Provider Demographics
NPI:1407186083
Name:GREATER MICHIGAN ECONOMIC DEVELOPMENT /CENTER
Entity type:Organization
Organization Name:GREATER MICHIGAN ECONOMIC DEVELOPMENT /CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:ABIMBOLA
Authorized Official - Last Name:MARTINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-252-6110
Mailing Address - Street 1:15749 HILTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-6011
Mailing Address - Country:US
Mailing Address - Phone:248-252-6110
Mailing Address - Fax:
Practice Address - Street 1:15749 HILTON ST
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-6011
Practice Address - Country:US
Practice Address - Phone:248-252-6110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable