Organization
DETROIT GREEN CARROT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMESHA MCDANIEL (ADMINISTRATION)
(313) 349-8957
Entity
Organization
Contact information
Practice address
1420 WASHINGTON BLVD STE 301, DETROIT, MI 48226-1750
(404) 553-3973
Mailing address
1420 WASHINGTON BLVD STE 301, DETROIT, MI 48226-1750
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/24/2018
Last updated
04/19/2024
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