Provider Demographics
NPI:1538695184
Name:ADVANCED TEACHING CONCEPTS, INC.
Entity Type:Organization
Organization Name:ADVANCED TEACHING CONCEPTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-486-5368
Mailing Address - Street 1:60674 RUSSELL LN
Mailing Address - Street 2:P.O. BOX 158
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9459
Mailing Address - Country:US
Mailing Address - Phone:248-486-5368
Mailing Address - Fax:
Practice Address - Street 1:60674 RUSSELL LN
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9459
Practice Address - Country:US
Practice Address - Phone:248-486-5368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS630015591253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency