Organization · NPI-2

2nd Home Adult Day Program

Social Worker, Clinical · Detroit, MI

NPI number1851897896
StatusActive
Last updated in NPPESMar 30, 2018

Details

NPI
1851897896
Entity type
Organization (NPI-2)
Legal business name
2nd Home Adult Day Program
Organization subpart
No
Enumeration date
Mar 30, 2018
Last updated
Mar 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

19311 Votrobeck Dr
Detroit, MI 48219-2600

Phone 248-225-0039

Mailing address

19311 Votrobeck Dr
Detroit, MI 48219-2600

Phone 248-225-0039

Authorized official

Nicole Catherine Grayson
Owner
2482250039

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