Healthcare Provider Details

I. General information

NPI: 1417459975
Provider Name (Legal Business Name): HELPING HANDS COMMUNITY CENTERS 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 CHICAGO BLVD
DETROIT MI
48206-1741
US

IV. Provider business mailing address

2434 CHICAGO BLVD
DETROIT MI
48206-1741
US

V. Phone/Fax

Practice location:
  • Phone: 313-586-2618
  • Fax:
Mailing address:
  • Phone: 313-586-2618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateMI

VIII. Authorized Official

Name: MS. ROSE MARIE GILBERT
Title or Position: OWNER
Credential:
Phone: 313-790-3126