| NPI | 1871881268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA JOYCE BROADEN Owner 313-421-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |