| NPI | 1356113856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DORSEY Assistant Pastor 313-526-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 251S00000X | |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |