Organization
BROADENS HELPING HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIDRA JOYCE BROADEN (OWNER)
(313) 421-9901
Entity
Organization
Contact information
Practice address
2236 HUBBELL ST, DEARBORN, MI 48128-1395
(313) 421-9901
(313) 383-3689
Mailing address
PO BOX 66, DEARBORN HEIGHTS, MI 48127-0066
(313) 421-9901
(313) 383-3689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
101YP2500X
Professional Counselor
—
MI
171M00000X
Case Manager/Care Coordinator
—
MI
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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