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Organization
SOUL FORWARD SOBER COMPANIONS
Active
Organization
SOUL FORWARD SOBER COMPANIONS
Active
Other names
SOUL FORWARD SOBER COMPANIONS, SOUL FORWARD SOBER COMPANIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE GRACY JR. (EXECUTIVE DIRECTOR)
(586) 339-2178
Entity
Organization
Contact information
Practice address
4000 TOWN CTR STE 1303, SOUTHFIELD, MI 48075-1410
(248) 932-4000
Mailing address
133 E GRAND BLVD APT 208, DETROIT, MI 48207-3777
(586) 339-2178
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
04/01/2024
Last updated
02/07/2025
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