Provider Demographics
NPI:1285018473
Name:THE MCKINNEY FOUNDATION, INC.
Entity Type:Organization
Organization Name:THE MCKINNEY FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHDC
Authorized Official - Phone:313-475-8774
Mailing Address - Street 1:P.O. BOX 321043
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48232
Mailing Address - Country:US
Mailing Address - Phone:313-475-8774
Mailing Address - Fax:313-731-1545
Practice Address - Street 1:350 PIPER BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215-3038
Practice Address - Country:US
Practice Address - Phone:313-475-8774
Practice Address - Fax:313-731-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable