# PADA

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

## Provider details

- **NPI number:** 1770918641
- **Authorized official:** MRS. PATRICE TAYLOR LBSW, MA, LLP (PRESIDENT)
- **Authorized official phone:** (313) 550-5030

## Contact information

- **Practice address:** 17500 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4324
- **Practice address phone:** (248) 678-3934
- **Mailing address:** 25170 THORNDYKE ST, SOUTHFIELD, MI 48033-2941
- **Mailing address phone:** (248) 678-3934
- **Mailing address fax:** (248) 678-3934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251E00000X | Home Health Agency | — | MI | Yes |

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 09/10/2013
