Organization
COMMUNITY & HOME SUPPORTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL WARSHAY MA LBSW (EXECUTIVE DIRECTOR)
(313) 887-7733
Entity
Organization
Contact information
Practice address
2111 WOODWARD AVE, SUITE 608, DETROIT, MI 48201
(313) 964-2566
(313) 332-4143
Mailing address
2111 WOODWARD AVE, SUITE 608, DETROIT, MI 48201
(313) 964-2566
(313) 964-2371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104152123
—
MI
05
—
MI10062
—
MI
Enumeration date
10/27/2009
Last updated
11/08/2018
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