Organization
VITAL HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT ATCHISON (CEO)
(313) 815-8908
Entity
Organization
Contact information
Practice address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 815-8908
Mailing address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 815-8908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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