Organization
NEIGHBORHOOD SERVICE ORGANIZATION
Active
Other names
NSO
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JOYCE LITTLE (PRESIDENT & CEO)
(313) 961-4890
Entity
Organization
Contact information
Practice address
882 OAKMAN BLVD, STE. C, DETROIT, MI 48238-3710
(313) 961-4890
(313) 867-3675
Mailing address
882 OAKMAN BLVD, STE. C, DETROIT, MI 48238-3710
(313) 961-4890
(313) 867-3675
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053720
CARELINK PROVIDER NUMBER
MI
01
—
0P03970
MEDICARE PIN NUMBER
MI
01
—
13493
DETROIT WAYNE ID NUMBER
MI
05
—
3273262
—
MI
05
—
3273271
—
MI
05
—
3273280
—
MI
05
—
3273315
—
MI
05
—
3273370
—
MI
05
—
4161019
—
MI
05
—
4354472
—
MI
05
—
4373960
—
MI
05
—
4465471
—
MI
05
—
4512769
—
MI
05
—
4652438
—
MI
05
—
4675817
—
MI
05
—
4678149
—
MI
01
—
600501
CONSUMERLINK PROVIDER NUM
MI
01
—
669973
CONSUMERLINK PROVIDER NUM
MI
Enumeration date
03/07/2007
Last updated
04/15/2020
Update your record
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