Organization Name: | INCORPORATION TO MAXIMIZE PERSONAL ACHIEVEMENT WITH COMMUNITY TRAINING |
NPI Number: | 1316059850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE N FOOTE (EXECUTIVE DIRECTOR) |
Mailing Address: | 1001 Military St Port Huron |
State: | MI US |
Postal Code: | 480605416 |
Phone Number: | 8109855168 |
Fax Number: | 8109859011 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 01/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |