| NPI | 1144627027 | 
|---|---|
| Doing Business As | SUPPORTIVE OUTREACH SERVICES LLC | 
| Entity Type | Organization | 
| Authorized Contact | TACARA L WOODS Owner/Social Worker 313-308-5510 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 251B00000X Case Management (Licence: MI 6801097458) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-11-20 | 
| Last Update Date | 2019-02-13 |