Organization
DETROIT COMMUNITY CARE NETWORK L3C
Active
Other names
Detroit Community Care Network LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID UNDERWOOD (MANAGING DIRECTOR)
(313) 636-1801
Entity
Organization
Contact information
Practice address
12850 PLYMOUTH RD, DETROIT, MI 48227-3725
(313) 636-1801
Mailing address
21549 VIRGINIA ST, SOUTHFIELD, MI 48076-2364
(313) 636-1801
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
11/05/2024
Last updated
09/03/2025
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