Provider Demographics
NPI:1417720343
Name:FLINT INSTITUTE OF MUSIC
Entity Type:Organization
Organization Name:FLINT INSTITUTE OF MUSIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE AND ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-341-1752
Mailing Address - Street 1:1025 E KEARSLEY ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-1997
Mailing Address - Country:US
Mailing Address - Phone:810-341-1752
Mailing Address - Fax:
Practice Address - Street 1:1025 E KEARSLEY ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-1997
Practice Address - Country:US
Practice Address - Phone:810-341-1752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty