Provider Demographics
NPI:1326135047
Name:DEVELOPMENT CENTERS, INC.
Entity Type:Organization
Organization Name:DEVELOPMENT CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-531-2500
Mailing Address - Street 1:17421 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-3165
Mailing Address - Country:US
Mailing Address - Phone:313-531-2500
Mailing Address - Fax:313-255-3465
Practice Address - Street 1:24424 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219
Practice Address - Country:US
Practice Address - Phone:313-531-2500
Practice Address - Fax:313-255-3465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI750910618OtherBCBSM STATE EMPL ADULT
MI750910508OtherBCBSM STATE EMPL CHILD
MI800H217310OtherBCBS - CSW GROUP
MI024951OtherMIDWEST HEALTH PLAN
MI260Q276040OtherBCBS - DOCTOR GROUP
MIP94406OtherBLUE CARE NETWORK
MI024951OtherMIDWEST HEALTH PLAN
MI0Q27604Medicare ID - Type UnspecifiedMEDICARE - DOCTOR GROUP