Autism Support Services Center in Redford Charter Township, MI - Clinic/Center

Autism Support Services Center is a mental health clinic (Clinic/center - Developmental Disabilities) in Redford Charter Township, Michigan. The current practice location for Autism Support Services Center is 16778 Norborne, Redford Charter Township, Michigan. For appointments, you can reach them via phone at (313) 740-7060. The mailing address for Autism Support Services Center is 16778 Norborne, Redford, Michigan and phone number is (313) 740-7060.

Autism Support Services Center is licensed to practice in * (Not Available) (license number ) and its NPI number is 1477281558. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (313) 740-7060.

Contact Information

	Autism Support Services Center
	16778 Norborne Redford Charter Township MI 48240-3830
	(313) 740-7060
	Not Available

Mental Health Clinic Profile

Full Name	Autism Support Services Center
Speciality	Clinic/center - Developmental Disabilities
Location	16778 Norborne, Redford Charter Township, Michigan
Authorized Official Name and Position	Lakeya Nico Martin (EXECUTIVE DIRECTOR)
Authorized Official Contact	3137407060
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Autism Support Services Center 16778 Norborne Redford MI 48240-2443 Ph: (313) 740-7060	Autism Support Services Center 16778 Norborne Redford Charter Township MI 48240-3830 Ph: (313) 740-7060

NPI Details:

NPI Number	1477281558
Provider Enumeration Date	08/08/2022
Last Update Date	08/09/2022
Certification Date	08/09/2022

Medical Identifiers

Medical identifiers for Autism Support Services Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477281558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
106E00000X	Assistant Behavior Analyst	(* (Not Available))	Secondary
106S00000X	Behavior Technician	(* (Not Available))	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
172A00000X	Driver	(* (Not Available))	Secondary
222Q00000X	Developmental Therapist	(* (Not Available))	Secondary
225CA2400X	Rehabilitation Counselor - Assistive Technology Practitioner	(* (Not Available))	Secondary
251C00000X	Day Training, Developmentally Disabled Services	(* (Not Available))	Secondary
261QD1600X	Clinic/center - Developmental Disabilities	(* (Not Available))	Primary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary
320900000X	Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities	(* (Not Available))	Secondary
385H00000X	Respite Care	(* (Not Available))	Secondary
385HR2060X	Respite Care - Respite Care, Intellectual And/or Developmental Disabilities, Child	(* (Not Available))	Secondary

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Autism Support Services Center - Mental Health Clinic in Redford Charter Township, MI