# GOODWILL INDUSTRIES OF GREATER DETROIT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548358245
- **Authorized official:** MS. LORNA G UTLEY (PRESIDENT AND CEO)
- **Authorized official phone:** (313) 557-8787

## Contact information

- **Practice address:** 3111 GRAND RIVER AVE, DETROIT, MI 48208-2962
- **Practice address phone:** (313) 964-3900
- **Practice address fax:** (313) 964-3909
- **Mailing address:** 3111 GRAND RIVER AVE, DETROIT, MI 48208-2962
- **Mailing address phone:** (313) 964-3900
- **Mailing address fax:** (313) 964-3909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 03/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2783305 | — | MI |