Provider Demographics
NPI:1891411542
Name:CREATING BRIGHTER FUTURES
Entity type:Organization
Organization Name:CREATING BRIGHTER FUTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KUBEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-926-0740
Mailing Address - Street 1:4201 VARSITY DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5005
Mailing Address - Country:US
Mailing Address - Phone:734-926-0740
Mailing Address - Fax:734-369-8851
Practice Address - Street 1:4201 VARSITY DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-5005
Practice Address - Country:US
Practice Address - Phone:734-926-0740
Practice Address - Fax:734-369-8851
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CREATING BRIGHTER FUTURES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty