Goodwill Industries Of Greater Detroit
LBN: Goodwill Industries Of Greater Detroit
Goodwill Industries Of Greater Detroit is an health care organization with primary practice located at 3111 Grand River Ave , Detroit MI 48208-2962. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty.
Goodwill Industries Of Greater Detroit can be contacted via phone (313) 964-3900, or through Utley, Lorna G via phone (313) 557-8787.
Contact Information
Primary practice address
3111 Grand River Ave
Detroit MI 48208-2962
Phone: (313) 964-3900
Fax: (313) 964-3909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1548358245 |
---|---|
LBN Legal business name | Goodwill Industries Of Greater Detroit |
DBA Doing business as | |
Authorized official | Utley, Lorna G |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Mar 18th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548358245 | NPPES |
Michigan | MEDICAID | 2783305 |
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