Provider Demographics
NPI:1669864104
Name:MICHAEL LEE SEARCY COMMUNITY AND DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:MICHAEL LEE SEARCY COMMUNITY AND DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-586-3033
Mailing Address - Street 1:18875 HULL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2111
Mailing Address - Country:US
Mailing Address - Phone:313-586-3033
Mailing Address - Fax:
Practice Address - Street 1:18875 HULL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203-2111
Practice Address - Country:US
Practice Address - Phone:313-586-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty