| NPI | 1568974038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MARIE MOBLEY Executive Director 313-971-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 163WC0400X Registered Nurse, Case Management | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-20 |