Healthcare Provider Details

I. General information

NPI: 1801224613
Provider Name (Legal Business Name): THE CARTER INSTITUTE FOR GIFTED CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24518 HARPER AVE
SAINT CLAIR SHORES MI
48080-1238
US

IV. Provider business mailing address

24518 HARPER AVE
SAINT CLAIR SHORES MI
48080-1238
US

V. Phone/Fax

Practice location:
  • Phone: 313-409-9935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: TRINILDA FELEIR DEARING
Title or Position: CEO
Credential: MA LLP
Phone: 313-409-9935