Organization
P O W E R PEOPLE ORGANIZED WORKING EVOLVING REACHING
Active
Other names
P O W E R INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL V BURRELL-JACKSON MSW, LMSW (EXECUTIVE DIRECTOR)
(734) 961-1990
Entity
Organization
Contact information
Practice address
301 W MICHIGAN AVE, YPSILANTI, MI 48197-5450
(734) 961-1990
(734) 961-1996
Mailing address
301 W MICHIGAN AVE, YPSILANTI, MI 48197-5450
(734) 961-1990
(734) 961-1996
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1447450226
MI
251S00000X
Community/Behavioral Health Agency
1184818700
MI
251S00000X
Community/Behavioral Health Agency
1447450226
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801035881
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P146711
BCBS ID #
MI
Enumeration date
02/14/2011
Last updated
12/30/2015
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