Healthcare Provider Details

I. General information

NPI: 1689006488
Provider Name (Legal Business Name): THE LITERACY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 GRISWOLD STREET SUITE 1300
DETROIT MI
48226
US

IV. Provider business mailing address

645 GRISWOLD STREET SUITE 1300
DETROIT MI
48226
US

V. Phone/Fax

Practice location:
  • Phone: 313-237-8169
  • Fax: 313-237-6801
Mailing address:
  • Phone:
  • Fax: 313-237-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberSA0823211
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. ABRIAN FAVORS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 313-237-8169