Organization
MICHIGAN WARRIORS
Active
Other names
Mission Youth
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LOCKRIDGE CCHW (EXECUTIVE DIRECTOR)
(313) 804-8635
Entity
Organization
Contact information
Practice address
8633 SOUTHFIELD FWY, DETROIT, MI 48228-1975
(313) 804-8635
Mailing address
22430 GRATIOT AVE UNIT 227, EASTPOINTE, MI 48021-7011
(313) 804-8635
(517) 515-7469
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/10/2025
Last updated
03/17/2026
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