Organization Name: | CREATING BRIGHTER FUTURES, INC |
NPI Number: | 1881939346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA IRISH (CLINICAL DIRECTOR) |
Mailing Address: | 3125 Professional Drive Ann Arbor |
State: | MI US |
Postal Code: | 481045128 |
Phone Number: | 7349260740 |
Fax Number: | 7349260752 |
NPI Enumeration Date: | 12/10/2012 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |