Organization
YOUR GOODVILLAGE COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANJANETTE DAVENPORT HATTER LMSW (FOUNDING EXECUTIVE DIRECTOR)
(313) 510-7003
Entity
Organization
Contact information
Practice address
12811 HEMINGWAY, REDFORD, MI 48239-4606
(888) 357-2366
(888) 357-2366
Mailing address
12811 HEMINGWAY, REDFORD, MI 48239-4606
(313) 510-7003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/30/2021
Last updated
04/06/2021
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