OrganizationActive
Authentic, Inc.
NPI 1407446826 · Case Management Agency · Bingham Farms, MI
Provider details
- NPI number
- 1407446826
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sonny Lacey, Chief Compliance Officer(469) 360-3500
Specialties & taxonomies
Agencies
Practice location
30800 Telegraph Rd Ste 4775
Bingham Farms, MI 48025-4536
Phone: (248) 469-8811
Approximate (ZIP-level) locationGet directions
Mailing address
30800 Telegraph Rd Ste 4775
Bingham Farms, MI 48025-4536
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.