Organization
NORTHROP LOVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZATTIE YOUNG (ECO)
(313) 727-3229
Entity
Organization
Contact information
Practice address
17777 NORTHROP ST, DETROIT, MI 48219-2321
(313) 727-3239
(313) 740-7329
Mailing address
17777 NORTHROP ST, DETROIT, MI 48219-2321
(313) 727-3239
(313) 740-7329
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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