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 | 251K00000X Public Health or Welfare |
Enumeration Date | 2024-11-05 |
Last Update Date | 2024-11-05 |