| 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 | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2019-02-13 |