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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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