| NPI | 1124910492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR LOCKRIDGE Executive Director 248-678-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2026-03-17 |