Organization
URBAN HEALTH RESOURCE
Active
Other names
Urban Health Resource, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA S GREEN-SMITH MA (PRESIDENT/CEO)
(313) 664-0100
Entity
Organization
Contact information
Practice address
3031 W GRAND BLVD, STE 365, DETROIT, MI 48202
(313) 664-0100
(313) 664-0111
Mailing address
3031 W GRAND BLVD STE 531, DETROIT, MI 48202-3008
(313) 664-0100
(313) 664-0111
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MI12245
—
MI
Enumeration date
12/05/2011
Last updated
02/20/2024
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