Generational Community Center LLC
Community Health Worker in Detroit, MI. Organization (NPI-2).
NPI number1255001087
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1255001087
- Entity type
- Organization (NPI-2)
- Legal business name
- Generational Community Center LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2021
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 171400000X | Health & Wellness Coach | – | – | |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 174H00000X | Health Educator | – | – | |
| 221700000X | Art Therapist | – | – | |
| 372500000X | Chore Provider | – | – |
Practice location
15510 Thatcher StDetroit, MI 48235-3122
Phone 313-656-7105
Mailing address
15510 Thatcher StDetroit, MI 48235-3122
Phone 313-656-7105
Authorized official
Sandra Vinson
Adminstrator
3136567105
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