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NPI Code Detail

MEDICARE: THE LANG FOUNDATION

MEDICARE: THE LANG FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251K00000XPublic Health or Welfare Agency
3251S00000XCommunity/Behavioral Health Agency
4252Y00000XEarly Intervention Provider Agency
5261Q00000XClinic/Center
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
7261QM0855XAdolescent and Children Mental Health Clinic/Center
8261QM3000XMedically Fragile Infants and Children Day Care
9320800000XMental Illness Community Based Residential Treatment Facility
103245S0500XChildren's Substance Abuse Rehabilitation Facility
11171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215428586
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LANG FOUNDATION
Provider Business Mailing Address
First Line : 1897 STANLEY BLVD
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-4149
Country : US
Telephone Number : 313-442-6027
Fax Number :
Provider Business Practice Location Address
First Line : 1897 STANLEY BLVD
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009
Country : US
Telephone Number : 313-442-6027
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHARLIE COCHRAN
Credential :
Telephone Number : 313-329-0724
Provider Enumeration Date : 05/22/2018
Last Update Date : 07/17/2018

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Directions to “THE LANG FOUNDATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.