| NPI | 1700767308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR LOCKRIDGE Executive Director 313-804-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2026-07-02 |