| 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 |