NPI | 1750104071 |
---|---|
Former Legal Business Name | DETROIT COMMUNITY CARE NETWORK LLC |
Entity Type | Organization |
Authorized Contact | DAVID UNDERWOOD Managing Director 313-636-1801 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 251K00000X Public Health or Welfare |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2024-11-05 |
Last Update Date | 2025-09-03 |