Provider Demographics
NPI:1891907796
Name:CASSELL & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CASSELL & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:W
Authorized Official - Last Name:CASSELL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:248-615-6020
Mailing Address - Street 1:40020 GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2112
Mailing Address - Country:US
Mailing Address - Phone:248-615-6020
Mailing Address - Fax:248-615-6025
Practice Address - Street 1:40020 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2112
Practice Address - Country:US
Practice Address - Phone:248-615-6020
Practice Address - Fax:248-615-6025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services