| NPI | 1497872386 |
|---|---|
| Doing Business As | BOULEVARD HOUSE OF HOPE |
| Entity Type | Organization |
| Authorized Contact | DAVID COLEMAN Owner 313-929-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI L787236) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |