Healthcare Provider Details

I. General information

NPI: 1376123885
Provider Name (Legal Business Name): HHAS TARGET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 S CENTER RD
BURTON MI
48509-1728
US

IV. Provider business mailing address

1513 S CENTER RD
BURTON MI
48509-1728
US

V. Phone/Fax

Practice location:
  • Phone: 800-653-4077
  • Fax:
Mailing address:
  • Phone: 800-653-4077
  • Fax: 810-321-3002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MORGAN TROJAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 810-321-3018