Organization
GREAT SCOTT HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEDESTA NWABUEZE (PRESIDENT)
(248) 910-9560
Entity
Organization
Contact information
Practice address
3202 LESLIE ST, DETROIT, DETROIT, MI 48238-3308
(248) 910-9560
(248) 799-9210
Mailing address
PO BOX 4207, SOUTHFIELD, MI 48037-4207
(248) 910-9560
(248) 799-9210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AF820307845
MI
Other
Enumeration date
02/16/2016
Last updated
02/03/2017
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