Organization
ADVOCACY FOR BETTER YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUVELLA R PORTER LMSW (CO-FOUNDER/PROGRAM DEVELOPMENT)
(313) 772-1063
Entity
Organization
Contact information
Practice address
17620 SHAFTSBURY AVE, DETROIT, MI 48219-3593
(313) 772-1063
Mailing address
17620 SHAFTSBURY AVE, DETROIT, MI 48219-3593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/16/2020
Last updated
11/24/2023
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