Organization
GOODWILL INDUSTRIES OF GREATER DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORNA G UTLEY (PRESIDENT AND CEO)
(313) 557-8787
Entity
Organization
Contact information
Practice address
3111 GRAND RIVER AVE, DETROIT, MI 48208-2962
(313) 964-3900
(313) 964-3909
Mailing address
3111 GRAND RIVER AVE, DETROIT, MI 48208-2962
(313) 964-3900
(313) 964-3909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783305
—
MI
Enumeration date
10/10/2006
Last updated
03/18/2011
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