Organization
NEIGHBORHOOD SERVICE ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJAH KARRIEM CLOWERS LLBSW (SUPPORTS COORDINATOR)
(313) 875-7601
Entity
Organization
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
(313) 875-7622
Mailing address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
(313) 875-7622
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802086947
MI
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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